| Mount Miguel Covenant Village | |
| 325 Kempton St., Spring Valley, California 91977 | |
| (619) 479-4790 | |
| Name | Mount Miguel Covenant Village |
|---|---|
| Location | 325 Kempton St., Spring Valley, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 83.67% |
| Medicare ID (CCN) | 555134 |
| Legal Business Name | Covenant Living West |
| Ownership Type | Non Profit - Church Related |
| Chain | Covenant Living (15 nursing homes) |
| Chain Average Overall Rating | 4.4 out of 5 |
| NPI Number | 1649375403 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Covenant Living West |
| Doing Business As | Mount Miguel Covenant Village Health Facility |
| Address | 325 Kempton St, Spring Valley, CA 91977 |
| Phone Number | 619-479-4790 |
| NPI Number | 1740346212 |
| Match | Possible same name, address or phone number |
| Organization Name | Covenant Living West |
| Doing Business As | Mount Miguel Covenant Village Health Facility |
| Address | 325 Kempton St, Spring Valley, CA 91977 |
| Phone Number | 619-931-1114 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.69 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.43 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.63 | 0.86 |
| Nurse aide hours per resident per day | 1.63 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.37 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 19.7% | 45.8% |
| Registered nurse turnover | 18.2% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 29, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 16, 2025 |
| Aug 7, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Aug 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Dec 18, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 3, 2025 |
| Sep 5, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Jun 20, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 20, 2024 |
| Jun 20, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 20, 2024 |
| Jun 20, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 20, 2024 |
| Jun 20, 2024 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 20, 2024 |
| Feb 21, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 6, 2024 |
| Dec 27, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 17, 2024 |
| Dec 27, 2023 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 17, 2024 |
| Oct 27, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Infection control inspection | Potential for harm, isolated | Corrected by Nov 27, 2023 |
| Sep 11, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 27, 2023 |
| May 11, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 2, 2023 |
| May 11, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| May 11, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| May 11, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| May 11, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| May 11, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| May 11, 2023 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 2, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.94 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.59 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.24 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.59 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.26 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.16 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.82 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.88 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.35 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.41 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.47 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.61 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.14 | 15.38 |
Amaya Springs Health Care Center Location: 8625 Lamar Street, Spring Valley, California 91977 Phone: (619) 461-3222 |
Brighton Place Spring Valley Location: 9009 Campo Road, Spring Valley, California 91977 Phone: (619) 460-2711 |