Home›Browse›California›Fresno›Covenant Post Acute

Nursing homeFAID #976

Covenant Post Acute

3408 EAST SHIELDS AVENUE, FRESNO, CA, 93726

(559) 227-4063

121 licensed beds

CMS rates Covenant Post Acute 3 out of 5 overall. Federal inspectors issued 75 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · FrankieyLupita Covarrubia

Address

3408 East Shields Avenue

Fresno, CA 93726

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Public record summary

What we can show you for free.

Bed capacity

121

CMS facility ID

055996

Care type

Nursing home

County

Fresno

Facility name

Covenant Post Acute

Street address

3408 EAST SHIELDS AVENUE

City / state / ZIP

Fresno, CA 93726

Phone

(559) 227-4063

Website

covenantpostacute.com

About this facility — Covenant Post Acute

Covenant Post Acute is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 121 beds — above the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Covenant Post Acute 75 times across 15 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Jericho Care Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Aht Holdings, Llc

Direct owner · Operational control — 100% stake — since 2021

Pakhdavor, Llc

Indirect owner — 20% stake — since 2021

Williams, Julianne

Indirect owner — 20% stake — since 2021

Epperson, Lucille

Operational control — since 2021

Unger, Jacob

Officer — since 2021

Regulatory standing

Licensed / certified since

1968-11-27

CMS overall rating

3 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-02-06

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$371 per day (≈ $11,280/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

21% Medicaid · 9% Medicare · 71% private/other

Occupancy

90% (fiscal year 2023)

Vs. state median

28% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

121

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-08Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-04-24

F-0604

D · No harm foundFrom a complaint

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2026-04-24

2026-03-24Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-04-14

13 earlier / fire-safety inspections (72 citations)

2026-03-05Health inspectionComplaint-triggered1 citation

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2026-03-20

2026-01-07Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2026-01-30

2025-04-30Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-05-23

2025-03-18Health inspectionComplaint-triggered3 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2025-04-11

F-0880

F · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-04-11

F-0908

F · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2025-04-11

2025-02-06Health inspection3 citations

F-0640

D · No harm found

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

Corrected 2025-02-28

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-02-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-28

2024-09-16Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

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

Corrected 2024-09-17

2024-03-07Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

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

Corrected 2024-03-29

2023-10-11Health inspectionComplaint-triggered1 citation

F-0624

D · No harm foundFrom a complaint

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2023-11-22

2023-03-27Health inspection25 citations

F-0550

E · No harm found

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

Corrected 2023-07-13

F-0557

D · No harm found

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

Corrected 2023-04-19

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-04-19

F-0656

E · No harm found

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

Corrected 2023-07-13

F-0657

E · No harm found

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

Corrected 2023-04-19

F-0658

E · No harm found

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

Corrected 2023-07-13

F-0676

E · No harm found

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

Corrected 2023-04-19

F-0677

E · No harm found

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

Corrected 2023-04-19

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-04-19

F-0689

E · No harm found

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

Corrected 2023-04-19

F-0693

G · Actual 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.

Corrected 2023-04-19

F-0698

E · No harm found

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

Corrected 2023-04-19

F-0700

E · No harm found

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.

Corrected 2023-04-19

F-0755

E · No harm found

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

Corrected 2023-04-19

F-0758

E · No harm found

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.

Corrected 2023-04-19

F-0761

E · No harm found

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.

Corrected 2023-04-19

F-0803

E · No harm foundFood safety

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.

Corrected 2023-04-19

F-0812

E · No harm foundFood safety

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

Corrected 2023-07-13

F-0813

E · No harm foundFood safety

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

Corrected 2023-04-19

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-04-19

F-0842

E · No harm found

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

Corrected 2023-04-19

F-0849

F · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-04-19

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-13

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-04-19

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2023-04-19

2019-01-23Health inspection11 citations

F-0550

D · No harm found

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

Corrected 2019-04-04

F-0656

E · No harm found

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

Corrected 2019-04-04

F-0658

D · No harm found

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

Corrected 2019-04-04

F-0684

E · No harm found

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

Corrected 2019-04-04

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-04-04

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-04-04

F-0758

E · No harm found

Corrected 2019-04-04

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2019-04-04

F-0761

E · No harm found

Corrected 2019-04-04

F-0812

F · No harm foundFood safety

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

Corrected 2019-04-04

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2019-04-04

2025-02-06Fire-safety inspection9 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-24

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-02-24

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-24

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-02-27

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-02-24

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-27

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-02-24

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-24

2023-03-27Fire-safety inspection11 citations

E-0039

D · No harm found

Conduct testing and exercise requirements.

Corrected 2023-04-11

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-04-11

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-11

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2023-04-11

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-11

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-04-11

K-0500

D · No harm found

Meet other general requirements that are deficient.

Corrected 2023-04-11

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-04-11

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-04-11

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-11

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-11

2019-01-23Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-02-06

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-02-06

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2019-02-06

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2019-02-06

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055996.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 64% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.7

Higher than 5% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

49%

Higher than 85% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 10 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.5%	10.2%	13.5%	Worse than state
Lose too much weight	3.7%	4.1%	5.1%	Near state average
With a catheter inserted and left in their bladder	1.0%	0.7%	0.7%	Worse than state
With a urinary tract infection	0.3%	1.2%	1.5%	Better than state
Have depressive symptoms	0.3%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	2.0%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	14.4%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	15.1%	13.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	97.2%	97.9%	95.3%	Near state average
With pressure ulcers	0.0%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	2.5%	9.8%	18.3%	Better than state
Received an antipsychotic medication	3.9%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.13	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.69	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.5%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.8%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	91.8%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	20.9%	22.6%	23.4%	Near state average
Had an outpatient emergency department visit	9.1%	11.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 4 inspections. Provide and implement an infection prevention and control program.
K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0920 3 inspections. Ensure proper usage of power strips and extension cords.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Fresno Va Medical Center (va Central California Healthcare System), about 0.8 miles. CMS rating 5 of 5.
Community Regional Medical Center, about 2.7 miles. CMS rating 1 of 5.
Saint Agnes Medical Center, about 4.0 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Oakwood Gardens Care Center, Fresno, less than 0.1 miles. CMS rating 4 of 5.
Keystone Post-acute, Fresno, about 0.3 miles. CMS rating 2 of 5.
Community Subacute and Transitional Care Center, Fresno, about 0.6 miles. CMS rating 5 of 5.
Lagacy Adult Care, Fresno, about 0.6 miles. 3 state visits on record.
Royal Board and Care for Elderly, Fresno, about 0.7 miles. 8 state visits on record.

Visitor reviews

What people say on Google.

4.274 ratings on Google

★★★★★Dustin Briggs · 2026-02-05 · via Google
“The staff here are very caring, compassionate, and do the best they can to take care of my mother. I appreciate the nursing staff and CNAs for all of their hard work and communicating with me on uodated details regarding her care. Nurse Practioner Harman Gill has been exceptional with his advocacy in going above and beyond to ensure my mom is getting back to her optimal health. He has communicate…”

★★★★★Annette C Roper · 2026-03-24 · via Google
“This facility is fantastic. The staff is attentive and compassionate and welcoming. What stands out for my family is the manager. Bradon cares beyond other places we have been. This is where you want your loved ones under his care. Thank you for taking care of our family and being so kind.”

★★★★★Mike Vargas · 2026-07-03 · via Google
“I am a patient here right now. Staff is very kind and attentive. I enjoy all the activities that are done daily and thankful to receive the care I get. I came for wound vac and it gets done on time.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 75 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered