Covenant Village of the Great Lakes

Name: Covenant Village of the Great Lakes
Address: 2520 Lake Michigan Drive NW, Grand Rapids, MI, 49504, US
Telephone: 6167356050

2520 Lake Michigan Drive NW, Grand Rapids, MI 49504 · Kent County · 37 certified beds · avg 31 residents/day · certified since Oct 28, 2004

Part of chain: COVENANT LIVING (15 facilities, chain avg rating 4.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.12

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 5, 2025	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Mar 5, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 5, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Jan 26, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 4).

Year	Citations	Worst severity that year
2024	11	D
2025	7	F
2026	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.12	4.32	3.95	top 48% in Michigan; top 35% in the U.S.
Registered Nurse hours	0.91	0.84	0.69	top 32% in Michigan; top 20% in the U.S.
Weekend total nurse staffing	3.67	3.79	3.50	top 44% in Michigan; top 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.49	0.48	top 23% in Michigan; top 21% in the U.S.
Total nursing staff turnover (%)	50.0	44.1	45.8	bottom 32% in Michigan; bottom 38% in the U.S.
RN turnover (%)	33.3	39.2	42.9	top 38% in Michigan; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.94, weekend 3.81. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Covenant Living Communities & Services	Organization	5% or Greater Direct Ownership Interest	100%	03/28/1995
Aagaard, Jon	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013
Christensen, Pamela	Individual	Contracted Managing Employee	NOT APPLICABLE	07/01/2013
Cunliffe, Terri	Individual	W-2 Managing Employee	NOT APPLICABLE	05/22/2015
Cunliffe, Terri	Individual	Corporate Officer	NOT APPLICABLE	05/22/2015
Eastburg, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013
Erickson, David	Individual	Corporate Officer	NOT APPLICABLE	01/31/2008
Espinosa, Marc	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013
Hodgkinson, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013
Holt, Jody	Individual	Corporate Officer	NOT APPLICABLE	06/02/2017
Manlove, Matt	Individual	Corporate Director	NOT APPLICABLE	07/01/2017
Oxendale, Roger	Individual	Corporate Director	NOT APPLICABLE	07/01/2017
Stante, Marlene	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013
Vining, Anne	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who is your infection preventionist, and what training do they have?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
St Ann's Home	1.1 mi	Grand Rapids, MI	★★★★★	5/5
Edison Christian Health Center	1.1 mi	Grand Rapids, MI	★★★★★	4/5
Valley View Care Center	2.2 mi	Grand Rapids, MI	★☆☆☆☆	1/5	abuse
Mary Free Bed Sub-Acute Rehabilitation	3.5 mi	Grand Rapids, MI	★★★★☆	4/5
Michigan Veteran Homes at Grand Rapids	4.5 mi	Grand Rapids, MI	★★★★★	5/5
Corewell Health Grand Rapids Hospitals Rehabilitat	4.6 mi	Grand Rapids, MI	★★★★★	5/5
Harbor Post Acute Center	5.0 mi	Wyoming, MI	★★★☆☆	2/5
Mission Point Nursing & Physical Rehabilitation Ce	5.1 mi	Grandville, MI	★☆☆☆☆	1/5
Optalis Health & Rehabilitation at Leonard	5.2 mi	Grand Rapids, MI	★★★☆☆	3/5
Clark Retirement Community	5.3 mi	Grand Rapids, MI	★★☆☆☆	2/5
Medilodge of Wyoming	5.4 mi	Wyoming, MI	★★★★★	5/5
Medilodge of Grand Rapids	5.6 mi	Grand Rapids, MI	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Grand Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 235614.

The Care File

Visit checklist — Covenant Village of the Great Lakes

2520 Lake Michigan Drive NW, Grand Rapids, MI 49504 · 6167356050

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who is your infection preventionist, and what training do they have?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235614 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)