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Nursing HomeMedicaid

Covenant Post Acute

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3408 East Shields Avenue, Mclane · Fresno, CA 93726121 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 74 Google reviews

5
4
3
2
1
Covenant Post Acute Nursing Home in Fresno, CA — Street View
Street View

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What this means for your family

This facility is a much stronger choice now than in previous years due to a complete change in ownership and management. The therapy and nursing teams are highly rated, but you should proactively verify that medication schedules and daily routines are being strictly followed for your loved one.

Google Reviews

Google Reviews

74 reviews on Google
Families considering Covenant Post Acute will find a facility that has undergone a significant management transition, with recent reviews highly praising the new leadership and compassionate nursing staff. While many praise the cleanliness and the quality of physical therapy, some historical concerns regarding medication delays and communication gaps persist in older reviews.

Quality Themes

Tap a score for details
Food2.0Staff9.0Clean9.0Activities10.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Excellent physical and occupational therapy
  • Clean and well-maintained environment
  • Engaging activities and social programs

Concerns

  • Delays in medication or treatment administration (mentioned by 2 reviewers)
  • Inconsistent communication from administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02021(1)2.02022(4)4.42023(13)4.72024(11)4.92025(32)3.32026(18)

Distribution · 79 analyzed

5
63
4
0
3
1
2
2
1
13
13 reviews posted between Oct 8, 2025Oct 8, 2025 · 13 were 5-star

How They Respond to Reviews

97%response rate
Good

The owner uses personalized, warm responses for positive reviews, often addressing specific staff members mentioned. For negative or low-rated reviews, they employ a consistent strategy of directing the reviewer to call the administrator, Braeden, at a specific phone number.

Questions for Your Tour

  • 1I noticed the management team is very active in responding to feedback online; how does the administration typically share important updates or changes with families?
  • 2What specific protocols are in place to ensure medications are administered accurately and on schedule every day?
  • 3We've heard great things about the physical and occupational therapy programs here; could you tell us more about how those are integrated into a resident's daily routine?
  • 4Could you describe the typical daily schedule, including the variety of social programs and activities available to keep residents engaged?
  • 5In the event of a medical emergency during the night, what is the process for notifying the family and coordinating care?
  • 6Since we want to make sure our loved one is eating well, could you tell us more about the dining experience and how much input residents have regarding their meals?

Personalized based on this facility's data


Key Review Excerpts

The staff here are very caring, compassionate, and do the best they can to take care of my mother. I appreciate the nursing staff and CNAs for all of their hard work and communicating with me on uodated details regarding her care.

Long-term resident's family · 2026★★★★★

I definitely give this facility 5 stars. They're caring, helpful and professional. The staff made my stay a most pleasant one. The font office answered my questions quickly and addressed any issues fairly and without haste. The PT and ot staff are amazing.

Rehab patient · 2025★★★★★

I am a survivor of a massive stroke... I can honestly say that Covenant Post Acute, is by far the best one I've ever had the privilege to be placed in the entire staff is well-trained, extremely capable, and most importantly, they're all competent

Rehab patient · 2024★★★★★
Source: 74 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
19.4%
CA
10.7%
Fresno
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.5%
CA
11.7%
Fresno
8.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
CA
7.0%
Fresno
4.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.5%
CA
13.7%
Fresno
15.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
14.4%
CA
10.4%
Fresno
10.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.1%
Worse than Avg
Here
17.1%
US
15.3%
CA
10.5%
Fresno
11.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
79.8%
CA
93.2%
Fresno
93.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
81.8%
CA
94.2%
Fresno
94.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Fresno
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (15.4)
12 complaint-triggered
$174,074 in fines

Covenant Post Acute has significant recurring problems with families filing formal complaints about safety conditions, accident prevention, and resident rights. The facility repeatedly struggles with medication management, infection control, and building safety issues like fire protection and electrical systems. While all reported violations show correction dates, the pattern of complaints and repeated deficiencies in core care areas like medication safety and infection prevention suggests ongoing quality concerns that warrant careful evaluation during your visit.

Apr 8, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Mar 24, 2026Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 5, 2026Complaint
1
0584Potential for harm · IsolatedCorrected

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.

Jan 7, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 30, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 18, 2025Complaint
3
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0584Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Covenant Post Acute

Organization Type

for profit

Ownership & Management

Owners

Aht Holdings, LLC

Owner · Organization

100%

Pakhdavor, LLC

Owner (parent company) · Organization

20%

Williams, Julianne

Owner (parent company)

20%

Key personnel

Unger, JacobOfficer / DirectorAht Holdings, LLCManagerEpperson, LucilleManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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