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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Discover a delightful retirement lifestyle at Covenant Living at the Shore, an excellent senior living community in King County, Mercer Island, WA, offering independent living, assisted living, respite care, and skilled nursing. The community offers an array of stunning studio, one- and two-bedroom apartment floor plans along with various senior living advantages. Here, residents enjoy their independence and the comfort of knowing that care associates are available to offer care and support 24/7.
There are so many ways to enjoy each day with a diverse calendar of activities, events, and programs regularly conducted. Work toward wellness at the fully-equipped fitness center, engage in a variety of classes and projects, and make new connections by joining clubs, volunteering, and attending events. Indulge in outstanding cuisine and service in the Fortuna Lodge dining room as well as the convenience of picking up a grab-and go meal at the casual Hidden Café. Here, residents’ individuality and wellness are nurtured through an array of exceptional services, compassionate support, and delightful amenities.
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.
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.
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.
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.
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.
This home is ranked 27th out of 89 homes in Washington. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 3h 54m per day | ■ Avg State avg: 3h 50m per day · National avg: 3h 25m per day |
Similar to the Washington average: 72.5%Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 31 | This facility has 13% fewer total deficiencies than a typical Washington nursing home (27 vs. WA avg 31).↓ 13% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 9 | 10.3 | This facility has 13% fewer deficiencies per year than a typical Washington nursing home (9 vs. WA avg 10.3).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 4, 2024, found no deficiencies and confirmed that previously cited issues were corrected. Earlier inspections identified recurring deficiencies related to staff background checks, specialty training for dementia and mental health, tuberculosis screening, and implementation of a Respiratory Protection Program. Prior reports also noted medication management issues, including failure to transcribe new medication orders, and multiple fire safety code deficiencies such as improper storage, malfunctioning fire doors, and missing inspection documentation. Complaint investigations included one substantiated case involving medication errors, while other complaints were not listed. The facility’s inspection history shows improvement with the latest follow-up confirming correction of prior deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWashington average 7.8
Last Health inspection on Dec 2024
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 40 citations resulted from standard inspections; and 2 of 40 resulted from complaint investigations.
233% worse than Washington averageWashington average: 0.3
100% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
93% better than Washington average
9% better than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,018 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 61 | 87 | 9,065 | 92 | 100% | 9.5 |
| Registered Nurse | 11 | 16 | 27 | 3,847 | 92 | 100% | 9.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,181 | 67 | 73% | 9.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,073 | 72 | 78% | 7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 1,018 | 81 | 88% | 6.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 933 | 67 | 73% | 6.9 |
| Dietitian | 2 | 0 | 2 | 686 | 88 | 96% | 7.8 |
| Licensed Practical Nurse | 4 | 3 | 7 | 674 | 64 | 70% | 9.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 509 | 62 | 67% | 8.2 |
| Administrator | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 360 | 45 | 49% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 307 | 62 | 67% | 4.9 |
| Nurse Practitioner | 1 | 0 | 1 | 208 | 26 | 28% | 8 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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)
133% higher than Washington averageWashington average: $82K
46% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
7% worse than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
44% worse than Washington averageWashington average: 16.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
13% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
3.2%
45% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
14.3%
In line with Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
11% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
72% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
20% better than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Covenant Living at the Shores based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #65 / 93Payroll — State benchmarkedThis home is ranked 65th out of 93 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Room Sizes: 633 / 806 sq. ft
Housing Options: 1 Bed
Building Type: 3-story
Fitness and Recreation
1.2 miles from city center
Estimated distance in miles from Mercer Island's city center to Covenant Living at the Shores's address, calculated via Google Maps.
Add your location
Covenant Living at the Shores is located in Mercer Island, Washington.
Here are the financial assistance programs available to residents in Washington.
Covenant Living at the Shores is in the Fortuna neighborhood of Mercer Island.
Covenant Living at the Shores has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to WA state health department records, Covenant Living at the Shores's license number is 958.
According to WA state health department records, Covenant Living at the Shores's license expires on July 31, 2026.
Covenant Living at the Shores's occupancy is 69%.
Yes — see the floorplan options available at Covenant Living at the Shores on this page.
Covenant Living at the Shores has 55 beds.
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