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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaCovenant Post Acute

Covenant Post Acute

3408 East Shields Avenue, Fresno, CA 937265592274063
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
121
certified
1 fine(s) totaling $174,074

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 121 certified beds with an average of 115.8 residents per day (96% occupancy)

• Last health inspection found 7 deficiencies (inspected Feb 6, 2025)

• Has been fined a total of $174,074 across 1 fine(s)

• Total nursing staff: 3.60 hours per resident per day

• Staff turnover rate: 36.8%

Covenant Post Acute is a 3-star Medicare and Medicaid certified nursing home in Fresno, California with 121 certified beds. It has been operating since 1968. The facility scored at average compared to California facilities.

Beds
121
Avg Residents/Day
115.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 27, 1968
Sprinklers
Yes
Council
Resident
County
Fresno
Last Inspection
Feb 6, 2025
Deficiencies (Cycle 1)
7
Weighted Score
141.0
Infection Citations
0

Deficiency Citations (51)

F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 30, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Mar 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 18, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Mar 18, 2025Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Sep 16, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0693Actual Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0813Potential for Harm

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

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Mar 27, 2023Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 27, 2023Corrected: NoCycle: 2

+ 21 more deficiencies

Total Fines
$174,074
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineMar 27, 2023
$174,074
Payment DenialMar 27, 2023
18 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.39 hrs
National avg: 2.35 hrs
LPN0.88 hrs
National avg: 0.86 hrs
RN0.32 hrs
National avg: 0.68 hrs
Total Nursing3.60 hrs
National avg: 3.89 hrs
Weekend Total3.49 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
36.8%
RN Turnover
50.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
AHT HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 9, 2021
PAKHDAVOR, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AApr 9, 2021
UNGER, JACOB5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 9, 2021
WILLIAMS, JULIANNE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 9, 2021
AHT HOLDINGS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 9, 2021
EPPERSON, LUCILLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 9, 2021
UNGER, JACOBCORPORATE OFFICERIndividualN/AApr 9, 2021

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Frequently Asked Questions

What is the CMS rating for Covenant Post Acute?▾
Covenant Post Acute has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Covenant Post Acute had any health inspection violations?▾
Covenant Post Acute had 7 deficiency citations in its most recent health inspection (Feb 6, 2025). The facility has been fined a total of $174,074 across 1 fine(s).
What are the staffing levels at Covenant Post Acute?▾
Covenant Post Acute provides 3.60 total nursing staff hours per resident per day, including 0.32 RN hours, 0.88 LPN hours, and 2.39 nurse aide hours. The total staff turnover rate is 36.8%.
How many beds does Covenant Post Acute have?▾
Covenant Post Acute has 121 certified beds with an average of 115.8 residents per day, resulting in approximately 96% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Covenant Post Acute?▾
Yes, there are 18 other nursing homes in Fresno, California with an average rating of 3/5. You can compare all facilities on the Fresno nursing homes page.