Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
MOUNT MIGUEL COVENANT VILLAGE
SPRING VALLEY, CA · 90 certified beds · Last Life Safety survey August 7, 2025
CMS Certification Number 555134 · first certified June 1981
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Covenant Living at Mount Miguel (325 Kempton Street). Matched by the telephone number the two records share. The records are separate and are never added together.
Ownership
Operated by COVENANT LIVING · Non profit - Church related
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within CA
12 citations — more than 17% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: August 2026 to January 2027. This facility’s last Life Safety survey was August 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 11, 2023 | 6 |
| June 20, 2024 | 2 |
| August 7, 2025 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0923 | Have proper medical gas storage and administration areas. | 2 | 2025-08-07 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2025-08-07 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-06-20 |
| K-0100 | Meet other general requirements. | 1 | 2024-06-20 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2023-05-11 |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | 1 | 2025-08-07 |
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | 1 | 2023-05-11 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2023-05-11 |
What the citations cover
- Smoke Deficiencies 7
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Construction Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 7 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 7, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 2, 2025) |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (September 2, 2025) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 2, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 2, 2025) |
June 20, 2024 — 2 citations
May 11, 2023 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | Deficient, Provider has date of correction (May 24, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (May 24, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (May 24, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 24, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (May 24, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (May 24, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.