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    COVENANT POST ACUTE

    3408 EAST SHIELDS AVENUE, FRESNO, CA 93726

    121 beds · For profit - Limited Liability company

    CMS Provider #055996

    Data updated: March 1, 2026

    62
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    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.

    Facility vs. California Averages

    Overall Rating

    Facility★★★★★
    State Avg★★★★★
    At State Avg

    Health Inspection

    Facility★★★★★
    State Avg★★★★★
    Below State Avg

    Staffing Rating

    Facility★★★★★
    State Avg★★★★★
    Below State Avg

    Quality Rating

    Facility★★★★★
    State Avg★★★★
    Exceeds State Avg
    State staffing benchmarks:Nursing hours/resident/day 4.5RN hours/resident/day 0.7

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    NursingHomeIQ Analysis

    Summary

    The data indicates a facility with high clinical quality scores but staffing levels and health inspection records that fall below California state averages.

    Detailed Analysis

    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.

    Key Findings

    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.

    Performance Trends (24 months)

    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.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall2★2★2★2★2★2★2★3★3★3★3★
    Staffing1★1★2★2★2★2★2★2★2★2★2★
    Health1★1★1★1★1★1★1★2★2★2★2★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    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.

    Weekend vs. Weekday Staffing

    Weekday3.6 hrs/resident/day
    Weekend3.5 hrs/resident/day
    Drop3% — Consistent

    RN Hours Specifically

    Weekday RN0.32
    Weekend RN0.35
    RN Drop-8%

    State avg total staffing: 4.5 hrs/resident/day

    Administrator Turnover

    0

    administrators departed in past year

    Stable

    Nursing Staff Turnover

    Total NursingElevated

    36.8%

    State avg: 38.1%

    RN TurnoverElevated

    50.0%

    State avg: 40.6%

    Agency/Contract Staff

    0.0%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %0.0%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    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

    Neighborhood Demographics (93726)

    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

    Google reviews provide firsthand accounts from residents' families and visitors.

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    1/7/20260689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Minimal harm
    1/30/2026Complaint
    4/30/20250609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Minimal harm
    5/23/2025Complaint
    3/18/20250908Environmental DeficienciesKeep all essential equipment working safely.
    Actual harm
    4/11/2025Complaint
    3/18/20250584Resident Rights DeficienciesHonor 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
    4/11/2025Complaint
    3/18/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Actual harm
    4/11/2025Complaint
    2/6/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Minimal harm
    2/28/2025Standard
    2/6/20250641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.
    Actual harm
    2/28/2025Standard
    2/6/20250640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Minimal harm
    2/28/2025Standard
    9/16/20240658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.
    Minimal harm
    9/17/2024Complaint
    3/7/20240550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Minimal harm
    3/29/2024Complaint
    Page 1 of 5

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    Total Penalties

    2

    Total Fines

    $174,074

    DateTypeFine AmountPayment Denial
    3/27/2023Fine$174,074
    3/27/2023Payment Denial6/25/2023 (18 days)

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Years Operating

    57

    Owner NameTypeRoleOwnership %Association Date
    AHT HOLDINGS, LLCOrganization100%4/9/2021
    PAKHDAVOR, LLCOrganization4/9/2021
    UNGER, JACOBIndividual4/9/2021
    WILLIAMS, JULIANNEIndividual4/9/2021
    AHT HOLDINGS, LLCOrganization4/9/2021
    EPPERSON, LUCILLEIndividual4/9/2021
    UNGER, JACOBIndividual4/9/2021

    News & Media

    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

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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