Federal inspection record · CMS data as of October 1, 2026
Covenant Village of the Great Lakes
2520 Lake Michigan Drive NW, Grand Rapids, MI · (616) 735-6050
- Certified beds
- 37
- Residents per day
- 33
- Ownership
- Non-Profit
- Chain
- Covenant Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 28, 2004
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Covenant Village of the Great Lakes carries 33 inspection points. That is fewer than 79% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning8D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care5D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Resident Rights3D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor 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.
Nutrition and Dietary1D
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Pharmacy Service1D
- D
Ensure 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.
Inspection history
2026-03-26
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-03-05
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-01-26
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 59 min of it from a registered nurse.
This home
4 h
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 67% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 98.5% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5 pts worse | 90.5% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts worse | 6.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 0.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight6 pts worse | 11.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 15.4% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 6.8% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts worse | 22.0% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.1 pts worse | 4.6% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better | 18.7% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts worse | 8.6% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts better | 99.2% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit17 pts worse | 28.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.7 pts better | 99.2% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 21.6% | 23.9% | 23.4% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Covenant Living Communities & Services | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Aagaard, Jon | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Christensen, Pamela | Contracted Managing Employee · Individual | 0% | 10 facilities |
| Cunliffe, Terri | W-2 Managing Employee · Individual | 0% | 13 facilities |
| Cunliffe, Terri | Corporate Officer · Individual | 0% | 13 facilities |
| Eastburg, Mark | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Erickson, David | Corporate Officer · Individual | 0% | 13 facilities |
| Espinosa, Marc | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Hodgkinson, Donald | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Holt, Jody | Corporate Officer · Individual | 0% | 10 facilities |
| Manlove, Matt | Corporate Director · Individual | 0% | 13 facilities |
| Oxendale, Roger | Corporate Director · Individual | 0% | 10 facilities |
| Stante, Marlene | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Vining, Anne | Operational/Managerial Control · Individual | 0% | 6 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
·
Other homes nearby
-
St Ann's Home
Grand Rapids, MI
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 39 min
- Fines
- $0
-
Edison Christian Health Center
Grand Rapids, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 31 min
- Fines
- $0
-
Valley View Care Center
Grand Rapids, MI · Nexcare Health Systems · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 38 min
- Fines
- $25,201