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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.
Age gracefully with Covenant Living of the Great Lakes, a distinguished community in Grand Rapids, MI, offering assisted living, independent living, memory care, respite care, and skilled nursing. The community is dedicated to improving residents’ welfare, providing top-tier care tailored to their unique needs around the clock. Beautifully furnished and cozy accommodations are provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.
Residents will not run out of things to do, with plenty of exciting events and enriching programs for recreation and wellness. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. The community is ideal for those looking to spend their golden years in one place, especially with its different levels of care and state-of-the-art 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 119th out of 133 homes in Michigan. 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 |
|---|---|---|
|
Registered Nurse (RN)
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 1m per day | ▲ 33% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 1m per day | ▲ 15% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
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 33m per day | ▲ 7% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
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 25m per day | ▼ 3% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 5m per day | ▲ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 39m per day | ▲ 34% State avg: 29m per day · National avg: 28m per day |
Lower than the Michigan average: 75.8%Covenant Living of the Great Lakes is legally operated by Covenant Living of the Great Lakes.
Key information about the people who lead and staff this community.
In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 8 | This facility has 50% fewer total deficiencies than a typical Michigan assisted living residence (4 vs. MI avg 8).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 1.3 | 2.7 | This facility has 52% fewer deficiencies per year than a typical Michigan assisted living residence (1.3 vs. MI avg 2.7).↓ 52% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 1.6 | This facility has 38% fewer deficiencies per inspection than a typical Michigan assisted living residence (1 vs. MI avg 1.6).↓ 38% better |
Inspections
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 5 | This facility has 20% fewer total inspections than a typical Michigan assisted living residence (4 vs. MI avg 5).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 12, 2025, identified deficiencies related to medication management, care plan adherence, and timely staff response to call lights. Earlier inspections showed a mix of compliance and issues, with a substantiated complaint in September 2024 about missed showers and prior renewal inspections in 2023 and 2024 finding the facility in substantial compliance. The main themes across deficiencies involved medication refills, care documentation, and responsiveness to resident needs. Complaint investigations included substantiated findings regarding care delays and unmet service plan requirements, while other allegations such as poor room conditions and meal provision were unsubstantiated. The inspection history shows some recurring challenges with care delivery and responsiveness, with no enforcement actions or fines listed in the available reports.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMichigan average 6.5
Last Health inspection on Mar 2025
Michigan average 33.5
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 31 citations resulted from standard inspections; 2 of 31 resulted from complaint investigations; and 4 of 31 came from combined inspections (standard and complaint).
100% better than Michigan averageMichigan average: 0.3
100% better than Michigan averageMichigan average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
190% better than Michigan average
0% compared with Michigan 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.
11.5 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.
9.3 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.
7.9 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
4,109 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 56 | 76 | 6,397 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 11 | 11 | 22 | 2,565 | 92 | 100% | 9.3 |
| Registered Nurse | 4 | 18 | 22 | 1,587 | 90 | 98% | 11.5 |
| Physical Therapy Aide | 0 | 4 | 4 | 559 | 69 | 75% | 6.5 |
| Administrator | 1 | 0 | 1 | 468 | 59 | 64% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 61 | 66% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 460 | 65 | 71% | 7.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 432 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 386 | 68 | 74% | 5.5 |
| Nurse Practitioner | 1 | 0 | 1 | 384 | 51 | 55% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 368 | 67 | 73% | 5.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 311 | 66 | 72% | 4.2 |
| RN Director of Nursing | 1 | 0 | 1 | 307 | 33 | 36% | 9.3 |
| Qualified Social Worker | 0 | 3 | 3 | 261 | 66 | 72% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 3 | 3% | 9.2 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
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.
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.
9.3
11% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
In line with Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
38% worse than Michigan averageMichigan average: 12.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.4%
32% better than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
25% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
14.3%
148% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
2.7%
60% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
1.8%
68% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
8.6%
122% worse than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
13.3%
11% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Michigan averageMichigan average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
10% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
73% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.9%
8% better than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.0%
46% better than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.5%
70% worse than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
22% worse than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.6%
30% better than Michigan averageMichigan average: 50.6%
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
29Residents 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 of the Great Lakes 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 #126 / 134Payroll — State benchmarkedThis home is ranked 126th out of 134 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan 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.
Minimum Age: 62 Years Old
Room Sizes: 710 - 1,032 / 1,094 - 1,364 sq. ft
Housing Options: 1 Bed / 2 Bed
Building Type: 2-story
Dining Services
Social and Recreational Activities
Exercise Programs
Wellness Programs
Swimming Pool
3.9 miles from city center
Estimated distance in miles from Grand Rapids's city center to Covenant Living of the Great Lakes's address, calculated via Google Maps.
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Covenant Living of the Great Lakes is located in Grand Rapids, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Covenant Living of the Great Lakes is in the Westside Connection neighborhood of Grand Rapids.
Covenant Living of the Great Lakes has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MI state health department records, Covenant Living of the Great Lakes's license number is AH410236771.
According to MI state health department records, Covenant Living of the Great Lakes's license expires on July 31, 2026.
Covenant Living of the Great Lakes's occupancy is 28%.
Yes — see the floorplan options available at Covenant Living of the Great Lakes on this page.
Covenant Living of the Great Lakes has 102 beds.
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