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Nursing home

Covenant Post Acute

Fresno, California · Fresno County

  • 3408 East Shields Avenue, Fresno, CA 93726 · Directions
  • (559) 227‑4063
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 51 health citations in its last 3 inspection cycles (most serious: level G). See the inspection record

Summary

Covenant Post Acute is a Medicare-certified nursing home in Fresno, California, with 121 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2025-02-06, with 8 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
121Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Covenant Post Acute?
3408 East Shields Avenue, Fresno, CA 93726, in Fresno County, California.
What is the phone number of Covenant Post Acute?
(559) 227-4063, as listed by Medicare (CMS).
What is the Medicare star rating of Covenant Post Acute?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Covenant Post Acute been fined?
Medicare lists no fines for Covenant Post Acute.
What did inspectors find at Covenant Post Acute?
In its last three inspection cycles (January 23, 2019 to April 8, 2026), Medicare lists 51 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (January 23, 2019 to April 8, 2026), Covenant Post Acute had 51 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.74 hours per resident per day; the California average is 4.54 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: February 6, 2025 — 8 health citations

Inspections in this cycle: February 6, 2025 (standard health inspection); January 7, 2026 (complaint investigation); March 5, 2026 (complaint investigation); March 24, 2026 (complaint investigation); April 8, 2026 (complaint investigation).

Show 8 citations (levels A to F, no actual harm)
  • F0641 Level E February 6, 2025 · corrected February 28, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0580 Level D April 8, 2026 · from a complaint · corrected April 24, 2026

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

  • F0604 Level D April 8, 2026 · from a complaint · corrected April 24, 2026

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

  • F0609 Level D March 24, 2026 · from a complaint · corrected April 14, 2026

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

  • F0584 Level D March 5, 2026 · from a complaint · corrected March 20, 2026

    “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.”

  • F0689 Level D January 7, 2026 · from a complaint · corrected January 30, 2026

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

  • F0640 Level D February 6, 2025 · corrected February 28, 2025

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

  • F0880 Level D February 6, 2025 · corrected February 28, 2025

    “Provide and implement an infection prevention and control program.”

Previous cycle: March 27, 2023 — 29 health citations

Inspections in this cycle: March 27, 2023 (standard health inspection); March 18, 2025 (complaint investigation); April 30, 2025 (complaint investigation).

  • F0693 Level G March 27, 2023 · corrected April 19, 2023

    “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.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 28 less serious citations (levels A to F)
  • F0880 Level F March 18, 2025 · from a complaint · corrected April 11, 2025

    “Provide and implement an infection prevention and control program.”

  • F0908 Level F March 18, 2025 · from a complaint · corrected April 11, 2025

    “Keep all essential equipment working safely.”

  • F0814 Level F March 27, 2023 · corrected April 19, 2023

    “Dispose of garbage and refuse properly.”

  • F0849 Level F March 27, 2023 · corrected April 19, 2023

    “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.”

  • F0881 Level F March 27, 2023 · corrected April 19, 2023

    “Implement a program that monitors antibiotic use.”

  • F0550 Level E March 27, 2023 · corrected July 13, 2023

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

  • F0641 Level E March 27, 2023 · corrected April 19, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0656 Level E March 27, 2023 · corrected July 13, 2023

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

  • F0657 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0658 Level E March 27, 2023 · corrected July 13, 2023

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

  • F0676 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0677 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0689 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0698 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0700 Level E March 27, 2023 · corrected April 19, 2023

    “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.”

  • F0755 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0758 Level E March 27, 2023 · corrected April 19, 2023

    “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.”

  • F0761 Level E March 27, 2023 · corrected April 19, 2023

    “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.”

  • F0803 Level E March 27, 2023 · corrected April 19, 2023

    “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.”

  • F0812 Level E March 27, 2023 · corrected July 13, 2023

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

  • F0813 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0842 Level E March 27, 2023 · corrected April 19, 2023

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

  • F0880 Level E March 27, 2023 · corrected July 13, 2023

    “Provide and implement an infection prevention and control program.”

  • F0908 Level E March 27, 2023 · corrected April 19, 2023

    “Keep all essential equipment working safely.”

  • F0609 Level D April 30, 2025 · from a complaint · corrected May 23, 2025

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

  • F0584 Level D March 18, 2025 · from a complaint · corrected April 11, 2025

    “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.”

  • F0557 Level D March 27, 2023 · corrected April 19, 2023

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

  • F0679 Level D March 27, 2023 · corrected April 19, 2023

    “Provide activities to meet all resident's needs.”

Earlier cycle: January 23, 2019 — 14 health citations

Inspections in this cycle: January 23, 2019 (standard health inspection); October 11, 2023 (complaint investigation); March 7, 2024 (complaint investigation); September 16, 2024 (complaint investigation).

Show 14 citations (levels A to F, no actual harm)
  • F0812 Level F January 23, 2019 · corrected April 4, 2019

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

  • F0656 Level E January 23, 2019 · corrected April 4, 2019

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

  • F0684 Level E January 23, 2019 · corrected April 4, 2019

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

  • F0758 Level E January 23, 2019 · corrected April 4, 2019

    “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.”

  • F0761 Level E January 23, 2019 · corrected April 4, 2019

    “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.”

  • F0880 Level E January 23, 2019 · corrected April 4, 2019

    “Provide and implement an infection prevention and control program.”

  • F0658 Level D September 16, 2024 · from a complaint · corrected September 17, 2024

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

  • F0550 Level D March 7, 2024 · from a complaint · corrected March 29, 2024

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

  • F0624 Level D October 11, 2023 · from a complaint · corrected November 22, 2023

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

  • F0550 Level D January 23, 2019 · corrected April 4, 2019

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

  • F0658 Level D January 23, 2019 · corrected April 4, 2019

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

  • F0756 Level D January 23, 2019 · corrected April 4, 2019

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

  • F0757 Level D January 23, 2019 · corrected April 4, 2019

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

  • F0760 Level D January 23, 2019 · corrected April 4, 2019

    “Ensure that residents are free from significant medication errors.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (24)
  • K0347 Level F February 6, 2025 · corrected February 27, 2025

    “Properly provide smoke detection systems in areas open to corridors.”

  • K0918 Level F February 6, 2025 · corrected February 27, 2025

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

  • K0761 Level E February 6, 2025 · corrected February 27, 2025

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

  • K0920 Level E February 6, 2025 · corrected February 24, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0211 Level D February 6, 2025 · corrected February 24, 2025

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

  • K0222 Level D February 6, 2025 · corrected February 24, 2025

    “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.”

  • K0321 Level D February 6, 2025 · corrected February 24, 2025

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

  • K0712 Level D February 6, 2025 · corrected February 24, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0919 Level D February 6, 2025 · corrected February 24, 2025

    “Meet requirements for the use of electrical equipment.”

  • E0039 Level D March 27, 2023 · corrected April 11, 2023

    “Conduct testing and exercise requirements.”

  • K0211 Level D March 27, 2023 · corrected April 11, 2023

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

  • K0321 Level D March 27, 2023 · corrected April 11, 2023

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

  • K0324 Level D March 27, 2023 · corrected April 11, 2023

    “Provide properly protected cooking facilities.”

  • K0345 Level D March 27, 2023 · corrected April 11, 2023

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

  • K0363 Level D March 27, 2023 · corrected April 11, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0500 Level D March 27, 2023 · corrected April 11, 2023

    “Meet other general requirements that are deficient.”

  • K0712 Level D March 27, 2023 · corrected April 11, 2023

    “Have simulated fire drills held at unexpected times.”

  • K0761 Level D March 27, 2023 · corrected April 11, 2023

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

  • K0918 Level D March 27, 2023 · corrected April 11, 2023

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

  • K0920 Level D March 27, 2023 · corrected April 11, 2023

    “Ensure proper usage of power strips and extension cords.”

  • K0211 Level E January 23, 2019 · corrected February 6, 2019

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

  • K0920 Level E January 23, 2019 · corrected February 6, 2019

    “Ensure proper usage of power strips and extension cords.”

  • K0223 Level D January 23, 2019 · corrected February 6, 2019

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

  • K0363 Level D January 23, 2019 · corrected February 6, 2019

    “Install corridor and hallway doors that block smoke.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeCaliforniaNational
Registered nurse (RN) hours per resident per day0.390.680.69
Licensed practical nurse (LPN) hours per resident per day0.961.200.86
Nurse aide hours per resident per day2.392.662.35
Total nurse staff hours per resident per day3.744.543.90
Total nurse staff hours per resident per day on the weekend3.554.103.43
RN hours per resident per day on the weekend0.400.520.48
Nursing staff turnover (per year)49.2%36.6%45.3%
RN turnover (per year)63.6%37.8%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 7 nursing homes: Jericho Care Group.

Legal business name: Centerpointe Care Center, LLC.

Owners and managers Medicare lists (4)
NameRoleShareSince
Aht Holdings, LLCDirect owner100%April 9, 2021
Pakhdavor, LLCIndirect owner20%April 9, 2021
Williams, JulianneIndirect owner20%April 9, 2021
Aht Holdings, LLCManagement company (operational or managerial control)NOT APPLICABLEApril 9, 2021

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds121
Average residents per day113.1
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)Jericho Care Group
Legal business nameCenterpointe Care Center, LLC
First approved by Medicare/Medicaid1968-11-27
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address3408 East Shields Avenue, Fresno, CA 93726
CountyFresno County
StateCalifornia
Phone(559) 227‑4063
CMS Certification Number055996
Name in Medicare recordsCOVENANT POST ACUTE
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13