MOUNT MIGUEL COVENANT VILLAGE
325 KEMPTON ST., SPRING VALLEY, CA 91977 · CCN 555134
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 90
- Avg residents/day
- 77.3
- Phone
- 6194794790
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-07 | 10 | 15.6 | 9.5 | -5.6 better |
| 2 | 2024-06-20 | 6 | 17.4 | 9.8 | -11.4 better |
| 3 | 2023-05-11 | 13 | 17.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.10 | 28.8% |
| RN staffing (reported) | 0.57 | 27.3% |
| Total nurse staffing (adjusted) | 4.16 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COVENANT LIVING
- Facilities in chain
- 15
- Chain avg overall
- 4.30 / 5
Inspection citations (29)
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-29 · Health · corrected 2025-09-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-12-18 · Health · corrected 2025-01-03
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-05 · Health · corrected 2024-09-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-21 · Health · corrected 2024-03-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-27 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-12-27 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-27 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-11 · Health · corrected 2023-09-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-05 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-05-11 · Health · corrected 2023-06-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1975-12-23 |
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1975-12-23 |
| HOLT, JODY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-06-02 |
| AAGAARD, JON | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| CHRISTENSEN, PAMELA | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| EASTBURG, MARK | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| ESPINOSA, MARC | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| HODGKINSON, DONALD | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| MANLOVE, MATT | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| OXENDALE, ROGER | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| STANTE, MARLENE | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| CUNLIFFE, TERRI | Individual | CORPORATE OFFICER | — | 2015-05-22 |
| ERICKSON, DAVID | Individual | CORPORATE OFFICER | — | 2008-01-31 |
| HOLT, JODY | Individual | CORPORATE OFFICER | — | 2017-06-02 |
| CUNLIFFE, TERRI | Individual | W-2 MANAGING EMPLOYEE | — | 2009-03-19 |
| HOLT, JODY | Individual | W-2 MANAGING EMPLOYEE | — | 2017-06-02 |
Other facilities in SPRING VALLEY
| Name | Overall | Beds |
|---|---|---|
| BRIGHTON PLACE SPRING VALLEY | ★★★★☆ | 68 |
| AMAYA SPRINGS HEALTH CARE CENTER | ★★★★☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.