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Covenant Living at Mount Miguel

Nursing Home Facility

325 Kempton St., Spring Valley, CA 91977

Assisted Living Nursing Home Care Independent Living In-Home Care Continuing Care (CCRC) Retirement Living Senior Living

Residents of Mount Miguel Covenant Village, located near San Diego, bring a lifetime of talents, an appreciation for natural beauty and a spirit of fellowship that creates an energetic and vibrant retirement community.

Operated by Covenant Retirement Communities, which runs 13 communities in our directory.

With 435 beds, Covenant Living at Mount Miguel is one of the larger communities in the area, senior care communities in Spring Valley average about 23 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 84% of its licensed beds. That is below the Spring Valley average of roughly 92%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 10 deficiencies.

Residents receive about 2.7 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Spring Valley average about 3.7 hours. Nursing staff turnover over the past year was about 20%.

The community is located in San Diego County, CA.

Medicare five-star ratings

  • Overall 3/5
  • Health inspections 4/5
  • Staffing 1/5
  • Quality measures 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 28 problems at Covenant Living at Mount Miguel. None of them caused harm to a resident. 7 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by September 16, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    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.

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected August 2025. Corrected by September 3, 2025.

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  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Inspected August 2025. Corrected by September 3, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by September 3, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Covenant Living at Mount Miguel offers assisted living, nursing home care, independent living, in-home care, continuing care (CCRC), retirement living, and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 435
  • Religious affiliation Christian
  • Occupancy 84%
  • Nursing hours per resident/day 2.7
  • Annual staff turnover 20%
  • Last health inspection August 2025

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