PlainNursing
CMS Nursing Home Compare · August 2026

Covenant Village of the Great Lakes

2520 Lake Michigan Drive NW, Grand Rapids, MI 49504 · All homes in Grand Rapids

Covenant Village of the Great Lakes, a 37-bed non profit - corporation nursing facility in Grand Rapids, MI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #174 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6167356050

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4 / 5
Above average · CMS overall · nat'l 3.0
#174 of 420
In-state rank among rated MI homes
4.28
Above average · nurse hrs/day · nat'l 3.86
22
Inspection findings

The verdict

Covenant Village of the Great Lakes, a 37-bed non profit - corporation nursing facility in Grand Rapids, MI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #174 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#174 of 420
In-state rank among rated MI homes
4.28
Nurse hrs/resident-day · national 3.86
22
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
235614
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
37
Residents
31
In Hospital
No
County
Kent
Last Inspection
Mar 26, 2026

Staffing Data

How the 4.28 total nursing hours per resident-day are staffed:

RN Hours
0.94 (nat'l avg: 0.69)
LPN Hours
0.93
CNA Hours
2.40
Total Nursing Hours
4.28 (nat'l avg: 3.86)
PT Hours
0.14
Nursing Turnover
50.0%
RN Turnover
33.3%

What the CMS Record Reveals About Covenant Village of the Great Lakes

According to CMS Nursing Home Compare, Covenant Village of the Great Lakes ranks #174 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Covenant Village of the Great Lakes operates 37 certified beds in Grand Rapids, MI with approximately 31 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 2★).

The inspection file contains 22 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 4.28 total nursing hours per resident day (national average 3.86), with RN coverage at 0.94 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Covenant Village of the Great Lakes falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (22 most recent)

D - Isolated - Minimal harm Mar 26, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2026

D - Isolated - Minimal harm Mar 26, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 17, 2026

D - Isolated - Minimal harm Mar 26, 2026 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 17, 2026

F - Widespread - Minimal harm Mar 26, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 17, 2026

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 5, 2025

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 28, 2025

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2025

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 28, 2025

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2025

E - Pattern - Minimal harm Mar 5, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Apr 4, 2025

F - Widespread - Minimal harm Mar 5, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2025

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Feb 14, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 14, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay 11.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Covenant Village of the Great Lakes, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Covenant Village of the Great Lakes

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 37 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Covenant Village of the Great Lakes?
Covenant Village of the Great Lakes has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (2★).
Where does Covenant Village of the Great Lakes rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Covenant Village of the Great Lakes ranks 174th among 420 rated nursing homes in MI (#174 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Covenant Village of the Great Lakes?
Covenant Village of the Great Lakes reports 4.28 total nursing hours per resident day (national average: 3.86). RN hours are 0.94 per resident day (national average: 0.69). Nursing staff turnover is 50.0%.
How many beds does Covenant Village of the Great Lakes have?
Covenant Village of the Great Lakes has 37 certified beds with approximately 31 residents. The facility is located at 2520 Lake Michigan Drive NW, Grand Rapids, MI 49504.
Does Covenant Village of the Great Lakes have any deficiencies on record?
Yes, Covenant Village of the Great Lakes has 22 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Covenant Village of the Great Lakes received any fines or penalties?
No, Covenant Village of the Great Lakes has no fines or penalties on record.
Who owns Covenant Village of the Great Lakes?
Covenant Village of the Great Lakes is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Covenant Village of the Great Lakes last inspected?
The most recent health inspection for Covenant Village of the Great Lakes was on Mar 26, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Covenant Village of the Great Lakes?
Covenant Village of the Great Lakes is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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