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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Standout metric: Physical therapist is +225% above Washington average
1 of 6 metrics below Washington average
Daily care time per resident, by role
US average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 24m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 24m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 31m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 31m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
70.3% of staff hours were worked by the facility's own employees
Washington average: 93.8% · Contractors 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)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Smaller home · May offer a more intimate, personalized care environment.
Based on 38 residents and 50 beds. Source: state inspection report (Oct 2024)
About This Community
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.
Includes all inspection records for this property, which could include management/ownership changes. 9 deficiencies 6 inspections
Inspection Scorecard
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• Total deficiencies (68% below)
• Deficiencies per inspection (52% below)
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
| 9 | 28.0 | This facility has 68% fewer total deficiencies than a typical Washington nursing home (9 vs. WA avg 28).↓ 68% better |
|
Deficiencies per inspection
| 1.5 | 3.1 | This facility has 52% fewer deficiencies per inspection than a typical Washington nursing home (1.5 vs. WA avg 3.1).↓ 52% better |
Inspections
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
| 6 | 9.0 | 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.
Citation severity
Latest inspection: Feb 11, 2026 · 11 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 10 of 35 citations · 7 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 35 citationsHow citations are counted
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).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
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
How residents at this home fare on health outcomes and preventive care, compared with the Washington average.
10 long-stay measures: 6 better, 2 worse, 2 near WA average
3 short-stay measures: 2 better, 1 worse
Long-stay residents
People who live at the home · 10 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
Preventive care
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
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.
Financial Trends
Historical financial and operational data for Covenant Living at the Shores from 2012–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 09/2024.
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 09/2024.
Living Spaces & Floor Plans for Covenant Living at the Shores
Places of interest near Covenant Living at the Shores
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.
Calculate Travel Distance to Covenant Living at the Shores
Add your location
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
91
Rank
#57 / 69 |
76.0%
Facility
76.0%
WA AVG
77.5%
Rank
#34 / 55 | -2% | 4.74
Facility
4.74
WA AVG
4.24
Rank
#12 / 60 | +29% | +12% | $0
Facility
$0
WA AVG
$89.5k
Rank
#1 / 61 | 35
Facility
35
WA AVG
49.6
Rank
#20 / 61 | 11.7
Facility
11.7
WA AVG
6.2
Rank
#56 / 61 | - | 38 | - |
18
Facility
18
WA AVG
51
Rank
#73 / 80 | - | $7.7MFiscal year ending 09/2024
Facility
$7.7MFiscal year ending 09/2024
WA AVG
$15.9M
Rank
#47 / 51 | $4.6MFiscal year ending 09/2024
Facility
$4.6MFiscal year ending 09/2024
WA AVG
$9.2M
Rank
#49 / 51 | 60.2%Fiscal year ending 09/2024
Facility
60.2%Fiscal year ending 09/2024
WA AVG
62.6%
Rank
#30 / 51 | 505504 | ||||
| Renton Health and Rehabilitation | NH HOS MC PC RC SNF | Renton | 99
Facility
99
WA AVG
91
Rank
#34 / 69 |
81.7%
Facility
81.7%
WA AVG
77.5%
Rank
#24 / 55 | +5% | 4.11
Facility
4.11
WA AVG
4.24
Rank
#29 / 60 | +4% | -3% | $256.7k
Facility
$256.7k
WA AVG
$89.5k
Rank
#60 / 61 | 65
Facility
65
WA AVG
49.6
Rank
#47 / 61 | 9.3
Facility
9.3
WA AVG
6.2
Rank
#54 / 61 | 2 | 81 | - |
83
Facility
83
WA AVG
51
Rank
#8 / 80 | - | $12.6MFiscal year ending 12/2024 | $7.7MFiscal year ending 12/2024 | 61.1%Fiscal year ending 12/2024 | 505280 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other 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.
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 non-profit in WA.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance




