MOUNT MIGUEL COVENANT VILLAGE
325 KEMPTON ST.
SPRING VALLEY, CA, 91977
6194794790
CCN: 555134
4
Overall4
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MANLOVE, MATT | CORPORATE DIRECTOR | NOT APPLICABLE |
| AAGAARD, JON | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHRISTENSEN, PAMELA | CORPORATE DIRECTOR | NOT APPLICABLE |
| EASTBURG, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESPINOSA, MARC | CORPORATE DIRECTOR | NOT APPLICABLE |
| HODGKINSON, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| OXENDALE, ROGER | CORPORATE DIRECTOR | NOT APPLICABLE |
| STANTE, MARLENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CUNLIFFE, TERRI | CORPORATE OFFICER | NOT APPLICABLE |
| ERICKSON, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| HOLT, JODY | CORPORATE OFFICER | NOT APPLICABLE |
| HOLT, JODY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COVENANT LIVING COMMUNITIES & SERVICES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CUNLIFFE, TERRI | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| HOLT, JODY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (29)
2025-08-29 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-08-07 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F688 · Quality of Life and Care Deficiencies
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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-12-18 · Health
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-09-05 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2024-06-20 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F741 · Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-02-21 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-12-27 · Health
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-10-27 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-09-11 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-06-05 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-05-11 · Health
D
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.10
RN Hrs/Resident/Day0.54
0.57
LPN Hrs/Resident/Day0.81
1.00
CNA Hrs/Resident/Day2.33
2.52
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01