Covenant Village of the Great Lakes
2520 Lake Michigan Drive NW, Grand Rapids, MI 49504 · CCN 235614
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 37
- Avg residents/day
- 29.3
- Phone
- 6167356050
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-05 | 7 | 9.9 | 9.5 | -2.9 better |
| 2 | 2024-01-26 | 10 | 11.4 | 9.8 | -1.4 better |
| 3 | 2023-01-11 | 13 | 12.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.57 | 45.0% |
| RN staffing (reported) | 1.01 | 42.9% |
| Total nurse staffing (adjusted) | 4.28 | — |
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 (30)
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-05 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-05 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-03-05 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-05 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-04-05
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-03-05 · Health · corrected 2025-03-28
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-05 · Health · corrected 2025-04-04
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.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-26 · Health · corrected 2024-02-14
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.2024-01-26 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-14
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.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-01-11 · Health · corrected 2023-02-03
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-11 · Health · corrected 2023-02-03
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.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-01-11 · Health · corrected 2023-02-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1995-03-28 |
| AAGAARD, JON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| EASTBURG, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| ESPINOSA, MARC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| HODGKINSON, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| STANTE, MARLENE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| VINING, ANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| MANLOVE, MATT | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| OXENDALE, ROGER | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| CUNLIFFE, TERRI | Individual | CORPORATE OFFICER | — | 2015-05-22 |
| ERICKSON, DAVID | Individual | CORPORATE OFFICER | — | 2008-01-31 |
| HOLT, JODY | Individual | CORPORATE OFFICER | — | 2017-06-02 |
| CHRISTENSEN, PAMELA | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2013-07-01 |
| CUNLIFFE, TERRI | Individual | W-2 MANAGING EMPLOYEE | — | 2015-05-22 |
Other facilities in Grand Rapids
| Name | Overall | Beds |
|---|---|---|
| Porter Hills Health Center | ★★★★★ | 39 |
| Corewell Health Grand Rapids Hospitals Rehabilitat | ★★★★★ | 120 |
| Corewell Health Rehabilitation & Nursing Center - | ★★★★★ | 165 |
| Edison Christian Health Center | ★★★★★ | 136 |
| Holland Home Breton Rehabilitation & Living Centre | ★★★★★ | 58 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.