3408 EAST SHIELDS AVENUE, FRESNO, CA 93726
121 beds · For profit - Limited Liability company
CMS Provider #055996
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
3.6 hrs/resident
Steady
Inspection findings
8
Fewer issues
Ownership changes
0
For-profit limited liability company with complex corporate ownership (AHT Holdings, LLC).
Complaint trend
Fewer complaints
10 complaint-related inspection findings in recent history.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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The data indicates a facility with high clinical quality scores but staffing levels and health inspection records that fall below California state averages.
Data from the Centers for Medicare and Medicaid Services reflects a facility with contrasting performance metrics. Clinical quality measures for both long-stay and short-stay residents are rated at the highest level (5 out of 5 stars), suggesting that recorded health outcomes for residents match or exceed national benchmarks. However, the health inspection history shows significant challenges; while the most recent survey in 2025 identified 8 findings, the 2023 cycle recorded 30 findings and resulted in over $174,000 in fines.
Staffing levels are lower than state norms. Total nursing care is provided at 3.6 hours per resident per day, which is below the California average of 4.5 hours. Specifically, registered nurse care is 0.32 hours per resident per day compared to the 0.65 state average. On a positive note for stability, the facility reported zero administrators leaving in the last year and utilizes no outside contract or agency staff, which is a significant outlier compared to many peer facilities. The total nursing staff turnover rate of 36.8% is slightly better than the state average of 38.1%, though registered nurse turnover is higher at 50%. Relative to the surrounding neighborhood, which has a high poverty rate of 26.47%, the facility serves a population with complex socio-economic factors.
Registered nurse staffing of 0.32 hours per resident per day is approximately 50% lower than the California state average of 0.65 hours.
Federal records indicate significant historical penalties, including a 2023 fine of $174,074 and an 18-day denial of payment from Medicare.
The facility uses 0% contract or agency staff, indicating that all nursing care is provided by direct employees of the facility.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 3★ | 3★ | 3★ | 3★ | |
| Staffing | 1★ | 1★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | |
| Health | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 4.5 hrs/resident/day
0
administrators departed in past year
Stable36.8%
State avg: 38.1%
50.0%
State avg: 40.6%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
71
Very Walkable
Transit Score
43
Some Transit
Median Income
$52,921
Median Home Value
$253,800
Poverty Rate
26.5%
Age 65+
10.4%
Median Age
30
Pop. Density
44,790/mi²
Median Rent
$1,177
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 1/7/2026 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Minimal harm | 1/30/2026 | Complaint | |
| 4/30/2025 | 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Minimal harm | 5/23/2025 | Complaint | |
| 3/18/2025 | 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | Actual harm | 4/11/2025 | Complaint | |
| 3/18/2025 | 0584 | Resident Rights Deficiencies | 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. | Minimal harm | 4/11/2025 | Complaint | |
| 3/18/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Actual harm | 4/11/2025 | Complaint | |
| 2/6/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Minimal harm | 2/28/2025 | Standard | |
| 2/6/2025 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Actual harm | 2/28/2025 | Standard | |
| 2/6/2025 | 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Minimal harm | 2/28/2025 | Standard | |
| 9/16/2024 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 9/17/2024 | Complaint | |
| 3/7/2024 | 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Minimal harm | 3/29/2024 | Complaint |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
2
Total Fines
$174,074
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 3/27/2023 | Fine | $174,074 | — |
| 3/27/2023 | Payment Denial | — | 6/25/2023 (18 days) |
Ownership structure and changes can affect facility quality.
Years Operating
57
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| AHT HOLDINGS, LLC | Organization | — | 100% | 4/9/2021 |
| PAKHDAVOR, LLC | Organization | — | — | 4/9/2021 |
| UNGER, JACOB | Individual | — | — | 4/9/2021 |
| WILLIAMS, JULIANNE | Individual | — | — | 4/9/2021 |
| AHT HOLDINGS, LLC | Organization | — | — | 4/9/2021 |
| EPPERSON, LUCILLE | Individual | — | — | 4/9/2021 |
| UNGER, JACOB | Individual | — | — | 4/9/2021 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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