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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaKeystone Post-Acute

Keystone Post-Acute

3672 North First Street, Fresno, CA 937265592275383
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
3/5
Beds
65
certified
1 fine(s) totaling $42,764

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 65 certified beds with an average of 59.6 residents per day (92% occupancy)

• Last health inspection found 13 deficiencies (inspected May 30, 2025)

• Has been fined a total of $42,764 across 1 fine(s)

• Total nursing staff: 3.94 hours per resident per day

• Staff turnover rate: 68.8% (high)

• Part of the Eduro Healthcare chain (37 facilities)

Keystone Post-Acute is a 2-star Medicare and Medicaid certified nursing home in Fresno, California with 65 certified beds. It has been operating since 1971. The facility scored below average compared to California facilities.

Beds
65
Avg Residents/Day
59.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 25, 1971
Sprinklers
Yes
Council
Both
County
Fresno
Last Inspection
May 30, 2025
Deficiencies (Cycle 1)
13
Weighted Score
110.0
Infection Citations
0

Deficiency Citations (47)

F0689Potential for Harm

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

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 30, 2025Corrected: NoCycle: 1
F0551Potential for Harm

Give the resident's representative the ability to exercise the resident's rights.

Survey: May 30, 2025Corrected: NoCycle: 1
F0584Potential 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.

Survey: May 30, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 30, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: May 30, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: May 30, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 30, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 30, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 30, 2025Corrected: NoCycle: 1
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: May 30, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 30, 2025Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: May 30, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 3, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Oct 3, 2024Corrected: NoCycle: 2
F0584Potential 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.

Survey: Aug 21, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0584Potential 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.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0700Potential for Harm

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.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Apr 26, 2024Corrected: NoCycle: 2

+ 17 more deficiencies

Total Fines
$42,764
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineNov 15, 2023
$42,764
Payment DenialNov 15, 2023
13 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.40 hrs
National avg: 2.35 hrs
LPN1.24 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.68 hrs
Total Nursing3.94 hrs
National avg: 3.89 hrs
Weekend Total3.59 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
68.8%
RN Turnover
72.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
FRESNO NURSING AND REHAB CENTER LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2019
EDURO HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJun 1, 2019
BEWSEY, MICHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJun 1, 2019
FRESNO NURSING AND REHAB CENTER LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2019
BEWSEY, MICHAELCORPORATE OFFICERIndividualN/AJun 1, 2019
MONROE, DUSTINCORPORATE OFFICERIndividualN/AJul 19, 2022
CARTER, BRAEDENW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2024

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Frequently Asked Questions

What is the CMS rating for Keystone Post-Acute?▾
Keystone Post-Acute has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
Has Keystone Post-Acute had any health inspection violations?▾
Keystone Post-Acute had 13 deficiency citations in its most recent health inspection (May 30, 2025). The facility has been fined a total of $42,764 across 1 fine(s).
What are the staffing levels at Keystone Post-Acute?▾
Keystone Post-Acute provides 3.94 total nursing staff hours per resident per day, including 0.30 RN hours, 1.24 LPN hours, and 2.40 nurse aide hours. The total staff turnover rate is 68.8%.
How many beds does Keystone Post-Acute have?▾
Keystone Post-Acute has 65 certified beds with an average of 59.6 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Limited Liability company owned and is part of the Eduro Healthcare chain.
Are there other nursing homes near Keystone Post-Acute?▾
Yes, there are 18 other nursing homes in Fresno, California with an average rating of 3/5. You can compare all facilities on the Fresno nursing homes page.

Part of Eduro Healthcare

This chain operates 37 facilities. View all →