Nursing home
Covenant Post Acute
3408 East Shields Avenue, Fresno, CA 93726 · Map
For profit - Limited Liability company · 121 certified beds
Covenant Post Acute is a Medicare-certified nursing home in Fresno, California. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.60 hours per resident per day, below the California average of 4.51. Its most recent inspection on Feb 6, 2025 cited 8 deficiencies.
- 1 fine totaling $174,074In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Covenant Post Acute compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.60 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.39 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 36.8% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $174,074, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Covenant Post Acute
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 24, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 7, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Mar 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 16, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3408 East Shields Avenue
Fresno, CA 93726 - CMS certification #
- 055996
- Ownership
- For profit - Limited Liability company
- Certified beds
- 121
- Avg residents/day
- 115.8
- Provider type
- Medicare and Medicaid
- First certified
- 1968-11-27
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Covenant Post Acute using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 2.7 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Oakwood Gardens Care Center, Fresno. 0.0 miles away, straight line.
- Nearest home health agency office
- St Mary'S Home Health Services, Inc, Fresno. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93726 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- San Joaquin Valley Dialysis, Fresno, 0.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Ash Tree Dialysis, Fresno, 2.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Community Dialysis Center, Fresno, 2.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 42 Medicare hospices tell CMS they serve ZIP code 93726.
St Mary'S Hospice Services, Inc, office in Fresno, 0.1 miles away, straight line
Blessed Hands Hospice Inc, office in Fresno, 1.0 mile away, straight line
Oyuna Hospice, Inc, office in Fresno, 2.2 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 4.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Covenant Post Acute a good nursing home?
CMS gives Covenant Post Acute an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Covenant Post Acute staffed?
Covenant Post Acute reports 3.60 total nurse hours per resident per day, compared with the California average of 4.51.
Has Covenant Post Acute had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Covenant Post Acute have?
Covenant Post Acute is certified for 121 beds.