Covenant Living at the Shores
Nursing Home, Assisted Living, Continuing Care Retirement Community, Memory Care & Skilled Nursing · Mercer Island, WA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Covenant Living at the Shores

Nursing Home, Assisted Living, Continuing Care Retirement Community, Memory Care & Skilled Nursing · Mercer Island, WA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Covenant Living at the Shores accepts Medicaid.

Overview of Covenant Living at the Shores

Serving up to 50 residents, Covenant Living at the Shores is a nursing home on Fortuna Drive in Mercer Island, Washington, that offers skilled nursing, rehabilitation, and respite care. Operating for 31 years, it offers one-bedroom accommodations in a three-story setting and currently maintains a 76% occupancy rate.

Older adults receive 24-hour nursing support, with an average of 4 hours and 15 minutes of direct care per resident each day from registered nurses, licensed practical nurses, and certified nursing assistants.

Amenities such as a fitness studio, private marina, and putting green promote recreation and overall well-being. Although Mercer Island is largely car-dependent, the peaceful waterfront setting offers a quieter environment for older adults.

State inspections conducted by the Washington Department of Health have also reviewed training and maintenance practices. While earlier surveys identified areas for improvement, follow-up inspections confirmed that corrective actions were completed.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 55.0% Above WA avg. ▲ 55.0% Above WA avg.WA average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 42.1% Above WA avg. ▲ 42.1% Above WA avg.WA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 46.1% Above WA avg. ▲ 46.1% Above WA avg.WA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 27.2% Above WA avg. ▲ 27.2% Above WA avg.WA average: 3.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Washington averages

Rank #12 / 61Nurse hours — State benchmarkedThis home is ranked 12th out of 61 homes we track in Washington for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 61 Washington facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 12th out of 61 homes we track in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 45m

12% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 42m
+85% State avg: 55m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
12m
−73% State avg: 44m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 51m
+5% State avg: 2h 42m per day · National avg: 2h 24m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 14m
+15% State avg: 3h 42m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
17m
+224% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
1h 26m
+111% State avg: 41m per day · National avg: 29m per day

1 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 50 Rank #57 / 68Bed count — State benchmarkedThis home is ranked 57th out of 68 homes we track in Washington for bed count. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
31 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #73 / 80Walk Score — State benchmarkedThis home is ranked 73rd out of 80 homes we track in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Washington facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
18 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #33 / 57Occupancy rate — State benchmarkedThis home is ranked 33rd out of 57 homes we track in Washington for occupancy. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 57. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
76% This home usually has availability
Similar to the Washington average: 74.9%
Occupied beds
38 / 50
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
83 days

About this community

License Details

CountyKing
License Number958

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactGillaspie, Debra (per state records, record updated Jul 2026)

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Minimum Age62

Amenities & Lifestyle

Fitness Center
Putting Green
Private Marina
Specific ProgramsResidential Living
Operating HoursResidential Living 9:00 a.m. – 5:00 p.m.; Assisted Living 24/7

Contact Covenant Living at the Shores

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.

Since 2023 · 3 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
9 deficiencies 6 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Washington state average
Overall vs. WA average 0 Worse No metrics in this bucket. 2 Better Metrics better than Washington average:
• Total deficiencies (71% below)
• Deficiencies per inspection (67% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWA Averagevs. WA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 931 This facility has 71% fewer total deficiencies than a typical Washington nursing home (9 vs. WA avg 31).↓ 71% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.54.51 This facility has 67% fewer deficiencies per inspection than a typical Washington nursing home (1.5 vs. WA avg 4.51).↓ 67% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityWA Averagevs. WA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 69 This facility has had 33% fewer total inspections than the Washington average (6 vs. WA avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

Washington average 8.7


Last Health inspection on Feb 2026

Total health citations
35 Rank #24 / 61Health citations — State benchmarkedThis home is ranked 24th out of 61 homes we track in Washington for health citations. Shows this facility's total health deficiency citations benchmarked to the Washington State average, with a ranking across all 61 WA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Washington average 49.3

Citations per inspection
11.67 Rank #50 / 61Citations per inspection — State benchmarkedThis home is ranked 50th out of 61 homes we track in Washington for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Washington mean across 61 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Washington average 6.2


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

34 of 35 citations resulted from standard inspections; and 1 of 35 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Washington average

Washington average: 0.3


Serious health citations
0
100% better than Washington average

Washington average: 1.8

0 critical citations Washington average: 0.3

0 serious citations Washington average: 1.8

35 moderate citations Washington average: 46.8

0 minor citations Washington average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Feb 11, 2026
Corrected

Abuse/Neglect moderate citation Feb 11, 2026
Corrected

Abuse/Neglect moderate citation Feb 11, 2026
Corrected

Infection Control moderate citation Feb 11, 2026
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 147
Employees 49
Contractors 98
Staff to resident ratio 3.59 : 1
93% more staff per resident than Washington average
Washington average ratio: 1.86 : 1 Washington average ratio: 1.86 : 1See full Washington ranking
Avg staff/day 25
Average shift 8.8 hours
9% better than Washington average
Washington average: 8.1 hours Washington average shift: 8.1 hoursSee full Washington ranking
Total staff hours (quarter) 20,261

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 27 total: 11 full-time employees and 16 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 4 full-time employees and 3 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 87 total: 26 full-time employees and 61 contractors. 87
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

29.7%

6,018 contractor hours this quarter

Certified Nursing Assistant: 61 Registered Nurse: 16 Physical Therapy Assistant: 5 Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Licensed Practical Nurse: 3 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2661879,06592100%9.5
Registered Nurse1116273,84792100%9.6
Clinical Nurse Specialist3031,1816773%9.3
Physical Therapy Assistant0551,0737278%7
Respiratory Therapy Technician0551,0188188%6.9
Speech Language Pathologist0449336773%6.9
Dietitian2026868896%7.8
Licensed Practical Nurse4376746470%9.9
Mental Health Service Worker1015096267%8.2
Administrator1014005054%8
Occupational Therapy Aide0113604549%8
Qualified Social Worker0223076267%4.9
Nurse Practitioner1012082628%8
Medical Director011333%1
87 Certified Nursing Assistant
% of Days 100%
27 Registered Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 73%
5 Physical Therapy Assistant
% of Days 78%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $190K Rank #1 / 61Federal fines — State benchmarkedThis home is ranked 1st out of 61 homes we track in Washington for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Washington average among facilities with fines, and where it ranks among 61 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
133% higher than Washington average

Washington average: $82K

Number of fines 1
46% fewer fines than Washington average

Washington average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Washington average

Washington average: 0.3

Fines amount comparison
Fines amount comparison
This facility $190K
Washington average $82K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.9
22% better than Washington average

Washington average: 10.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
7% worse than Washington average

Washington average: 20.9

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.5%
44% worse than Washington average

Washington average: 16.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.2%
13% better than Washington average

Washington average: 24.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than Washington average

Washington average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
In line with Washington average

Washington average: 4.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Washington average

Washington average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
45% better than Washington average

Washington average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Washington average

Washington average: 16.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.3%
In line with Washington average

Washington average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Washington average

Washington average: 96.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
In line with Washington average

Washington average: 93.8%

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
11% better than Washington average

Washington average: 88.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
72% worse than Washington average

Washington average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
20% better than Washington average

Washington average: 82.0%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 41
Medicare
23
56.1% of residents
Medicaid
9
22% of residents
Private pay or other
9
22% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$862.7K
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M Rank #47 / 51Net patient revenue — State benchmarkedThis home is ranked 47th out of 51 homes we track in Washington. Shows this facility's net patient revenue compared to the Washington average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$862.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$144.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #49 / 51Payroll costs — State benchmarkedThis home is ranked 49th out of 51 homes we track in Washington. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Washington average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.9M 54% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #30 / 51Payroll % of net patient revenue — State benchmarkedThis home is ranked 30th out of 51 homes we track in Washington. Shows payroll as a percentage of net patient revenue versus the Washington average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.0M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Room sizes icon
Room sizes icon

Room Sizes: 633 / 806 sq. ft

Housing options icon
Housing options icon

Housing Options: 1 Bed

Building type icon
Building type icon

Building Type: 3-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Living Spaces & Floor Plans for Covenant Living at the Shores

Floor plan 1
Floor plan 2
Floor plan 3

Places of interest near Covenant Living at the Shores

Address 1.2 miles from city center Info Estimated distance in miles from Mercer Island's city center to Covenant Living at the Shores's address, calculated via Google Maps.

Calculate Travel Distance to Covenant Living at the Shores

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Address

Compare Nursing Homes around King County

Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 62.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Covenant Living at the Shores
NH
AL
CCRC
MC
SNF
Mercer Island
50
Facility 50
WA AVG 92
Rank #57 / 68
76.0%
Facility 76.0%
WA AVG 74.9%
Rank #33 / 57
+1%
4.74
Facility 4.74
WA AVG 4.22
Rank #12 / 61
+29%+12%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
35
Facility 35
WA AVG 48.9
Rank #24 / 61
11.7
Facility 11.7
WA AVG 6.9
Rank #50 / 61
-38-
18
Facility 18
WA AVG 51
Rank #73 / 80
-
$7.2MFiscal year ending 09/2023
Facility $7.2MFiscal year ending 09/2023
WA AVG $15.9M
Rank #47 / 51
$3.9MFiscal year ending 09/2023
Facility $3.9MFiscal year ending 09/2023
WA AVG $9.2M
Rank #49 / 51
54%Fiscal year ending 09/2023
Facility 54%Fiscal year ending 09/2023
WA AVG 62.6%
Rank #30 / 51
505504
Renton Health and Rehabilitation
NH
HOS
MC
PC
RC
SNF
Renton
99
Facility 99
WA AVG 92
Rank #34 / 68
81.7%
Facility 81.7%
WA AVG 74.9%
Rank #24 / 57
+9%
4.11
Facility 4.11
WA AVG 4.22
Rank #29 / 61
+4%-3%
$256.7k
Facility $256.7k
WA AVG $87.7k
Rank #60 / 61
65
Facility 65
WA AVG 48.9
Rank #54 / 61
9.3
Facility 9.3
WA AVG 6.9
Rank #58 / 61
281-
83
Facility 83
WA AVG 51
Rank #8 / 80
-$12.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$6.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.57.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.505280

Rank badges are statewide: each nursing home is ranked against every WA nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities

Financial Assistance for
Nursing Home in Washington

Covenant Living at the Shores is located in Mercer Island, Washington State.
Here are the financial assistance programs available to residents in Washington State.

Get Financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled
General Washington resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WA

High demand in urban areas (e.g., Seattle).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Washington Family Caregiver Support Program

WA NFCSP

Age Caregiver of someone 60+ (or with dementia)
General Washington resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WA

High urban demand; rural outreach.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$70/day) Short-term facility care (up to 5 days)

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+)
General WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WA

Broader than COPES; serves ~20,000; self-directed option.

Benefits
Personal care (4-6 hours/day) Respite (~240 hours/year) Assistive devices Training Transportation

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+
General WA resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WA

13 AAAs; includes Meals on Wheels; rural focus.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled
General WA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WA

High veteran use; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree
General WA resident, homeowner, income-based.
Income Limits (2025) ~$45,000-$70,000/year varies by county, e.g., King: $70,000
Asset Limits Not assessed; home value cap varies ~$250,000-$400,000
WA

Saves ~$500-$1,500/year; offered statewide.

Benefits
Tax exemption (~$500-$1,500/year depending on county)

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+
General WA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WA

Vouchers (~$80/season); serves ~20,000 via AAAs.

Benefits
Vouchers (~$80/season) for produce at farmers’ markets

Frequently Asked Questions about Covenant Living at the Shores

Is Covenant Living at the Shores in a walkable area?

Covenant Living at the Shores has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Covenant Living at the Shores?

According to WA state health department records, Covenant Living at the Shores's license number is 958.

What is the occupancy rate at Covenant Living at the Shores?

Covenant Living at the Shores's occupancy is 76%.

How long has Covenant Living at the Shores been in business?

Covenant Living at the Shores has been operating for approximately 31 years, based on available licensing and registration records.

Does Covenant Living at the Shores have different floorplan options?

Yes — see the floorplan options available at Covenant Living at the Shores on this page.

Are pets allowed at Covenant Living at the Shores?

No, Covenant Living at the Shores has a no-pet policy.

Does Covenant Living at the Shores operate as a for-profit or non-profit?

Covenant Living at the Shores is registered as a for-profit in WA.

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