Federal inspection record · CMS data as of October 1, 2026
Mount Miguel Covenant Village
325 Kempton St., Spring Valley, CA · (619) 479-4790
- Certified beds
- 90
- Residents per day
- 71
- Ownership
- Non-Profit
- Chain
- Covenant Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1981
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★+1 star
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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Mount Miguel Covenant Village carries 46 inspection points. That is fewer than 81% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: 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★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California 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
27 health citations on record since 2023. 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
Quality of Life and Care8E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Resident Rights4D
- 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 a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service4D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement 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.
- 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.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2025-08-07
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-06-20
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-05-11
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 8 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
4 h 8 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 25% of nursing staff and 18% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 3.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 99.6% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse | 5.6% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 3.4% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts worse | 8.7% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 13.1% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts worse | 13.7% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better | 6.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 9.9% | 10.2% | 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 infection0.4 pts better | 0.8% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 14.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 1.3% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 97.9% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.7 pts worse | 18.8% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.8 pts better | 98.9% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 20.2% | 22.6% | 23.4% |
·
Who owns and runs it
16 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 | Corporate Director · Individual | 0% | 6 facilities |
| Christensen, Pamela | Corporate Director · Individual | 0% | 10 facilities |
| Covenant Living Communities & Services | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Cunliffe, Terri | W-2 Managing Employee · Individual | 0% | 13 facilities |
| Cunliffe, Terri | Corporate Officer · Individual | 0% | 13 facilities |
| Eastburg, Mark | Corporate Director · Individual | 0% | 10 facilities |
| Erickson, David | Corporate Officer · Individual | 0% | 13 facilities |
| Espinosa, Marc | Corporate Director · Individual | 0% | 7 facilities |
| Hodgkinson, Donald | Corporate Director · Individual | 0% | 7 facilities |
| Holt, Jody | W-2 Managing Employee · Individual | 0% | 10 facilities |
| Holt, Jody | Corporate Officer · Individual | 0% | 10 facilities |
| Holt, Jody | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Manlove, Matt | Corporate Director · Individual | 0% | 13 facilities |
| Oxendale, Roger | Corporate Director · Individual | 0% | 10 facilities |
| Stante, Marlene | Corporate Director · Individual | 0% | 7 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- D
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4E
- D
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Construction1D
- D
Meet other general requirements.
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Other homes nearby
-
Amaya Springs Health Care Center
Spring Valley, CA · Pacific Healthcare Holdings
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0
-
Bella Vista Health Center
Lemon Grove, CA
★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 5 h 4 min
- Fines
- $0
-
Lemon Grove Care And Rehabilitation Center
Lemon Grove, CA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0