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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 35 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record · Staff turnover reported at 20%
Mount Miguel Covenant Village has a middle-range Medicare overall rating. Strengths include beautifully landscaped, resort-like grounds. Some reviewers note concerns about inadequate medical monitoring and response to pain (mentioned by 2 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Families often praise the facility's beautiful, resort-like grounds and the compassionate nature of the caregiving staff. However, there are serious allegations regarding medical oversight and communication during critical health events, as well as concerns regarding hygiene and physical therapy consistency.
Quality Themes
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Concerns
Rating Trends
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Distribution · 70 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The grounds are gorgeous, reminiscent of a Hawaiian island resort. Every time I visit, the caregivers come in and check his vitals and blood sugars and pulse and oxygen.”
“Staff is caring and well trained. My dad is there and he has received exceptional care while healing from hip surgery.”
“You should have more days available to bathe patients, make more efforts to ensure that they do physical therapy, frequently check the patients' rooms, pay attention to the patient's pain and needs.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
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measures
3
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Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Multiple families have filed complaints resulting in cited deficiencies, particularly regarding safety hazards and accident prevention which has been cited repeatedly across surveys from 2023 to 2025. The facility shows recurring issues with infection control, medication management, and food safety that persist despite corrections. While all deficiencies show correction dates, the pattern of repeated violations in critical care areas suggests ongoing quality concerns that warrant careful consideration during your visit.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mount Miguel Covenant Village
nonprofit
Covenant Living
15 facilities nationwide
Chain avg rating: 4.3/5 · Rank 9 of 15
Owners
Covenant Living Communities & Services
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit covlivingmountmiguel.org
Medicare data downloads
Original nursing home datasets
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