D

COVENANT POST ACUTE

3408 EAST SHIELDS AVENUE, FRESNO, CA 93726
Score: 42 / 100

Covenant Post Acute faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 29th percentile among California nursing homes, suggesting significant room for improvement.

Staffing at Covenant Post Acute is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 49 deficiencies at Covenant Post Acute. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.60 3.8 Average
Registered Nurses (RN) 0.32 0.7 Below Average
Licensed Practical Nurses (LPN) 0.88 0.7 Above Average
Certified Nursing Assistants (CNA) 2.39 2.4 Average
Weekend Total Nursing 3.49 3.8 Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

49
Total Deficiencies
Jan 6, 2026
Most Recent Inspection
🟠 49 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 6, 2026 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Apr 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Mar 17, 2025 · Infection Control Deficiencies
  • Tag 0908 Severity F
    Keep all essential equipment working safely.
    Mar 17, 2025 · Environmental Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Mar 17, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.0% 4.5% Better
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 3.4% 14.5% Better
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 9.6% 7.5% Worse
New/worsened incontinence 4.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $174,074

How This Grade Was Calculated

This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 5, 2025
Deficiencies (Cycle 1)
8