California › Fresno County › Fresno
Keystone Post-Acute
3672 North First Street, Fresno, CA 93726
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Keystone Post-Acute, in Fresno, California, is certified for 65 beds under for-profit, limited liability company ownership and belongs to the Eduro Healthcare chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (14, 20, 14 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 73.8 per 100 beds, more than the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $43K and 1 payment denial.
Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the California median of 4.2; nursing staff turnover is 47.1%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 41 | 44 | 28.7 |
| Citations per 100 beds | 73.8 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 47.1% | 45.7% | 36.4% | 45.8% |
| Fines listed | $42,764 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 May 2025, 26 Apr 2024.
Severity mix: G ×3 D ×20 E ×16 F ×9
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 May 2026 |
| 5 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 27 Feb 2026 |
| 30 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0761 | 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. | E | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0584 | 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. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2025 |
| 30 May 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 26 Jun 2025 |
| 13 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2025 |
| 3 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Oct 2024 |
| 3 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Oct 2024 |
| 21 Aug 2024 | F0584 | 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. | E | Complaint investigation | 13 Sep 2024 |
| 13 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 5 Jul 2024 |
| 26 Apr 2024 | F0700 | 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. | F | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0727 | 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. | F | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0758 | 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. | F | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0584 | 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. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0726 | 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. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 31 May 2024 |
| 15 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Dec 2023 |
| 17 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Nov 2023 |
| 5 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Nov 2022 |
| 5 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Aug 2022 |
| 5 Aug 2022 | F0761 | 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. | D | Standard survey | 22 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Nov 2023 | Payment denial | — | 13 days |
| 15 Nov 2023 | Fine | $42,764 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 47.1%, RNs 42.9%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.0% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fresno Nursing And Rehab Center Llc. Chain: Eduro Healthcare (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fresno Nursing and Rehab Center LLC | 5% or greater direct ownership interest | 100% | 06/01/2019 |
| Eduro Healthcare LLC | 5% or greater indirect ownership interest | 100% | 06/01/2019 |
| Fresno Nursing and Rehab Center LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Keystone Post-Acute been cited for?
48 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Keystone Post-Acute been fined?
Yes. CMS lists fines totalling $43K in the period covered, plus 1 payment denial.
How does staffing at Keystone Post-Acute compare?
Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Keystone Post-Acute?
It is part of the Eduro Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fresno Nursing and Rehab Center LLC, Eduro Healthcare LLC and Fresno Nursing and Rehab Center LLC. Individual owners and managers are not listed on this site.
When was Keystone Post-Acute last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 30 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.