nursing home in Fresno, CA

Keystone Post-Acute

3672 North First Street, Fresno, CA 93726 · (559) 227-5383

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Keystone Post-Acute at a glance

Keystone Post-Acute is a 65-bed for-profit nursing home in Fresno, California (Fresno County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.

Residents receive about 3.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (July 17, 2026) found 11 health citations. The California average is 15.5.

Federal regulators fined it 1 time in the past three years, totaling $42,764.

Nursing staff turnover is 47.1% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
65
Certified for
Medicare and Medicaid
Chain / affiliated entity
Eduro Healthcare
Medicare-certified since
February 25, 1971
Resident/family council
Both
County
Fresno County
CMS Certification Number
056266

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.2 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 53.3 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)1 / 53.6 / 53.3 / 5Worse

Staffing

This facility3.93 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.93 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.23 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.47 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.51 hrs4.09 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)47.1%36.7%45.8%Average
Registered nurse turnover (yearly) (lower is better)42.9%38.1%42.9%Average

Inspections

This facility11California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)11169Worse
Citations from complaint investigations (latest cycle) (lower is better)243Better
Weighted health inspection score ⓘ (lower is better)78105.880.6Average

Penalties

This facility1California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$42,764$23,986$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds6599107
Average residents per day618886
Occupancy93.4%88.4%80.9%

Long-stay residents

This facility0.5%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.5%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.8%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)6%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2%1.2%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.1%0.8%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)5.6%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)10.2%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)5.9%4%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)5.1%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)95.2%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility3.2%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.2%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)85.5%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)91.6%94.4%82%Better

Inspection citations

State inspectors cited this home for 46 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
July 17, 2026
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected August 12, 2026
July 17, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected August 12, 2026
July 17, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 12, 2026
July 17, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected August 12, 2026
July 17, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 12, 2026
July 17, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected August 12, 2026
July 17, 2026
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected August 12, 2026
July 17, 2026
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected August 12, 2026
July 17, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected August 12, 2026
July 17, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected August 12, 2026
July 17, 2026
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected August 14, 2026
July 17, 2026
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected August 14, 2026
July 17, 2026
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
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 · Tag F0584
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 14, 2026
July 17, 2026
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected August 14, 2026
May 8, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 30, 2026
February 5, 2026
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected February 27, 2026
May 30, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected June 13, 2025
May 30, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected June 13, 2025
May 30, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected June 13, 2025
May 30, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 13, 2025
May 30, 2025
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
C
No harm, widespread
Corrected June 11, 2025
May 30, 2025
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
C
No harm, widespread
Corrected June 11, 2025
May 30, 2025
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
C
No harm, widespread
Corrected June 11, 2025
May 30, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected June 13, 2025
May 30, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 26, 2025
May 30, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 26, 2025
May 30, 2025
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected June 26, 2025
May 30, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected June 26, 2025
May 30, 2025
Standard
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · Tag F0551
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected June 26, 2025
May 30, 2025
Standard
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 · Tag F0584
D
Potential harm, isolated
Corrected June 26, 2025
March 13, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 2, 2025
October 3, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected October 22, 2024
October 3, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 22, 2024
August 21, 2024
Complaint
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 · Tag F0584
E
Potential harm, pattern
Corrected September 13, 2024
June 13, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected July 5, 2024
April 26, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 3, 2024
April 26, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
E
Potential harm, pattern
Corrected May 3, 2024
April 26, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected May 3, 2024
April 26, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected May 3, 2024
April 26, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected May 3, 2024
April 26, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected May 3, 2024
April 26, 2024
Standard
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Tag F0700
F
Potential harm, widespread
Corrected May 31, 2024
April 26, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 31, 2024
April 26, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
F
Potential harm, widespread
Corrected May 31, 2024
April 26, 2024
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected May 31, 2024
April 26, 2024
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
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 · Tag F0584
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Standard
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Tag F0924
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected May 31, 2024
November 15, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected December 28, 2023
October 17, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 2, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $42,764 in fines.

DatePenaltyAmount / length
November 15, 2023Payment Denial13 days from December 15, 2023
November 15, 2023Fine$42,764

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FRESNO NURSING AND REHAB CENTER LLC
Organization
5% or greater direct ownership interest100%06/01/2019
EDURO HEALTHCARE LLC
Organization
5% or greater indirect ownership interest100%06/01/2019
BEWSEY, MICHAEL
Individual
corporate officerNOT APPLICABLE06/01/2019
MONROE, DUSTIN
Individual
corporate officerNOT APPLICABLE07/19/2022
FRESNO NURSING AND REHAB CENTER LLC
Organization
operational/managerial controlNOT APPLICABLE06/01/2019
CARTER, BRAEDEN
Individual
w-2 managing employeeNOT APPLICABLE02/01/2024

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Frequently asked questions

What is Keystone Post-Acute's rating?

Keystone Post-Acute has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Keystone Post-Acute receive?

Its most recent standard health inspection found 11 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Keystone Post-Acute accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Keystone Post-Acute?

It is for profit - limited liability company and part of Eduro Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Keystone Post-Acute and how do I contact it?

Keystone Post-Acute is at 3672 North First Street, Fresno, CA 93726. Phone: (559) 227-5383.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.