Keystone Post-Acute
3672 North First Street, Fresno, CA 93726 · (559) 227-5383
For profit - Limited Liability company · 65 certified beds
Keystone Post-Acute has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 9 citations (the California average is 15.6). It was fined 1 time in the last three years, $42,764 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 17, 2026 found 9 citations. What an inspection citation means
- 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.July 17, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.July 17, 2026 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 17, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 17, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 17, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.July 17, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 17, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 17, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 17, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 8, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 5, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 13, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 3, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 3, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 21, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 13, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 15, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 17, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $42,764November 15, 2023
- Medicare payment denial for 13 daysStarting December 15, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.93 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.23 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.22 | 1.20 | 0.86 |
| Nurse aides | 2.47 | 2.65 | 2.32 |
| Total nursing staff turnover | 47.1% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 65 |
| Average residents per day | 60.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- California Home for the Aged Fresno · ★★★★★ 5 out of 5 stars
- Community Subacute and Transitional Care Center Fresno · ★★★★★ 5 out of 5 stars
- North Point Healthcare & Wellness Centre LP Fresno · ★★★★★ 5 out of 5 stars
- Manning Gardens Care Center, Inc Fresno · ★★★★★ 5 out of 5 stars
- Oakwood Gardens Care Center Fresno · ★★★★★ 5 out of 5 stars
Compare every nursing home in Fresno, CA · Nursing homes in California · Home health agencies in Fresno, CA
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Data from Medicare (CMS), updated October 2026, from Keystone Post-Acute on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.