Covenant Shores Health Center

9107 Fortuna Drive
Mercer Island, WA 98040
King County
Phone: 206-268-3039
Provider Number: 505504
Last Inspection: 12/12/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
43
Number of Residents
Number of
Residents
38
Number of Beds Available
Beds Available
5
Percent Occupancy
Percent Occupancy
88%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Church related
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WA
  • USA
  • 25
  • 30
  • 23
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 25
  • 30
  • 17
Lower Numbers are Better

Details by Inspection Date

 

12/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 1/16/2015
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 1/16/2015
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 1/16/2015
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 1/16/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/16/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/16/2015
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 1/16/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/16/2015
 

10/28/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/3/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/3/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 12/3/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/3/2013
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/3/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/3/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/3/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/3/2013
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated : Minimal 3 12/3/2013
 

6/23/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/12/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/12/2012
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 7/12/2012
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 7/12/2012
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/12/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

1/23/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/3/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 3/3/2014
 

8/7/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 8/8/2013
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 8/8/2013
 

3/5/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 4/15/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WA State Avg
Number of Residents 38 84.10 77.56
Registered Nurses 1.25 1.27 1.19
Licensed Practical / Vocational Nurses 0.29 0.57 0.60
Certified Nursing Assistants 3.06 2.71 2.59
Total Staff Hours 4.60 4.55 4.37

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 6 5 5
Long Stay Residents Experiencing One or More Falls with Major Injury 2 2 2
Long Stay Residents Who Have Depressive Symptoms 14 10 10
Long Stay Residents Who Lose Too Much Weight 7 7 6
Long Stay Residents Who Received an Antipsychotic Medication 15 16 17
Long Stay Residents Who Self Report Moderate to Severe Pain 2 7 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 4 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 9 8
Long Stay Residents Who Were Physically Restrained 0 2 0
Long Stay Residents Whose Need for Help with ADLs has Increased 12 13 13
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 3 3
Long Stay Residents With a Urinary Tract Infection 9 6 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 74 53 51
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 2 18 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 10 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 13 14
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 0