Covenant Post AcuteCMS ratings, inspections and fines
- Address
- 3408 East Shields Avenue, Fresno, CA 93726
- CCN
- 055996
- Ownership type
- For-profit, limited liability company
- Certified beds
- 121
- Chain
- Jericho Care Group
- Residents per day
- 113
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Covenant Post Acute an overall rating of 3 of 5 stars. The last standard survey was on 6 Feb 2025. The latest survey cycle has 8 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Fresno County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 31 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Feb 2025 | 8 | 14 |
| Cycle 2 | 27 Mar 2023 | 30 | 14 |
| Cycle 3 | No date | 13 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Apr 2026 |
| 8 Apr 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 24 Apr 2026 |
| 24 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Apr 2026 |
| 5 Mar 2026 | F0584 | 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. | D | Complaint investigation | 20 Mar 2026 |
| 7 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Jan 2026 |
| 6 Feb 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 28 Feb 2025 |
| 6 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 28 Feb 2025 |
| 6 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Feb 2025 |
Survey cycle 2: 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 May 2025 |
| 18 Mar 2025 | F0584 | 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. | D | Complaint investigation | 11 Apr 2025 |
| 18 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 11 Apr 2025 |
| 18 Mar 2025 | F0908 | Keep all essential equipment working safely. | F | Complaint investigation | 11 Apr 2025 |
| 16 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Sep 2024 |
| 27 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 13 Jul 2023 |
| 27 Mar 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 13 Jul 2023 |
| 27 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Jul 2023 |
| 27 Mar 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0693 | 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. | G | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0700 | 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. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0758 | 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. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0761 | 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. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0803 | 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. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Jul 2023 |
| 27 Mar 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0849 | 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. | F | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jul 2023 |
| 27 Mar 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 19 Apr 2023 |
| 27 Mar 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 19 Apr 2023 |
Survey cycle 3: 13 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Mar 2024 |
| 11 Oct 2023 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 22 Nov 2023 |
| 23 Jan 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0758 | 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. | E | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0761 | 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. | E | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Apr 2019 |
| 23 Jan 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Apr 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 3.68 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.32 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.00 | 1.20 | |
| Nurse aides | 2.35 | 2.65 | |
| All nurse staff, weekends | 3.53 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 46.5%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 53.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Centerpointe Care Center, LLC
- Chain
- Jericho Care Group (7 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Aht Holdings, LLC | 5% or greater direct ownership interest | 100% | 9 Apr 2021 |
| Pakhdavor, LLC | 5% or greater indirect ownership interest | 20% | 9 Apr 2021 |
| Aht Holdings, LLC | Operational/managerial control | 9 Apr 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Fresno County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Oakwood Gardens Care Center | Fresno | 5 of 5 | 4 | $0 | 30 Jan 2025 | |
| Keystone Post-Acute | Fresno | 2 of 5 | 14 | $42,764 | 30 May 2025 | |
| Community Subacute and Transitional Care Center | Fresno | 5 of 5 | 0 | $0 | 6 Feb 2026 | |
| The Terraces at San Joaquin Gardens Village | Fresno | 5 of 5 | 11 | $0 | 21 Mar 2025 | |
| Healthcare Centre of Fresno | Fresno | 2 of 5 | 13 | $88,049 | 8 May 2026 | |
| North Point Healthcare & Wellness Centre LP | Fresno | 5 of 5 | 3 | $0 | 27 Mar 2025 | |
| Orchard Post Acute | Fresno | 3 of 5 | 16 | $0 | 20 May 2025 | |
| Fresno Postacute Care | Fresno | 3 of 5 | 10 | $0 | 10 Apr 2026 | |
| Sierra Vista Healthcare | Fresno | 3 of 5 | 13 | $12,048 | 9 Jan 2026 | |
| Evergreen Care Center | Fresno | 3 of 5 | 11 | $0 | 17 May 2024 | |
| Pacific Gardens Nursing and Rehabilitation Center | Fresno | 3 of 5 | 20 | $30,654 | 24 Apr 2026 | |
| Morning Star Post Acute | Clovis | 3 of 5 | 13 | $0 | 20 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Covenant Post Acute (CCN 055996). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/covenant-post-acute-fresno-ca-055996/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Covenant Post Acute last inspected?
- The latest inspection with a citation in the CMS record was on 8 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 27 Mar 2023.
- Who operates Covenant Post Acute?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Jericho Care Group. The CMS ownership file names Aht Holdings, LLC for operational or managerial control. This site does not show the names of persons.
- Is Covenant Post Acute a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.