Quick answers
- Where is Keystone Post-Acute?
- 3672 North First Street, Fresno, CA 93726, in Fresno County, California.
- What is the phone number of Keystone Post-Acute?
- (559) 227-5383, as listed by Medicare (CMS).
- What is the Medicare star rating of Keystone Post-Acute?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Keystone Post-Acute been fined?
- Medicare lists 1 fine totaling $42,764 and 1 payment denial.
- What did inspectors find at Keystone Post-Acute?
- In its last three inspection cycles (October 17, 2023 to July 17, 2026), Medicare lists 46 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 17, 2023 to July 17, 2026), Keystone Post-Acute had 46 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $42,764 in total (1 fine, the latest on November 15, 2023) and had 1 Medicare payment denial. Nurse staffing is 3.69 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 17, 2026 — 11 health citations
Inspections in this cycle: February 5, 2026 (complaint investigation); May 8, 2026 (complaint investigation); July 17, 2026 (standard health inspection).
Show 11 citations (levels A to F, no actual harm)
F0727 Level F
“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.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0584 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
Previous cycle: May 30, 2025 — 15 health citations
Inspections in this cycle: October 3, 2024 (complaint investigation); March 13, 2025 (complaint investigation); May 30, 2025 (standard health inspection).
Show 15 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0761 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0551 Level D
“Give the resident's representative the ability to exercise the resident's rights.”
F0584 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0835 Level D
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Earlier cycle: April 26, 2024 — 20 health citations
Inspections in this cycle: October 17, 2023 (complaint investigation); November 15, 2023 (complaint investigation); April 26, 2024 (standard health inspection); June 13, 2024 (complaint investigation); August 21, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0700 Level F
“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.”
F0727 Level F
“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.”
F0758 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0552 Level E
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0726 Level E
“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.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0940 Level E
“Develop, implement, and/or maintain an effective training program for all new and existing staff members.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0908 Level D
“Keep all essential equipment working safely.”
F0924 Level D
“Put firmly secured handrails on each side of hallways.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (24)
E0039 Level F
“Conduct testing and exercise requirements.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0015 Level C
“Address subsistence needs for staff and patients.”
E0030 Level C
“List the names and contact information of those in the facility.”
E0031 Level C
“Provide emergency officials' contact information.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $42,764 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 15, 2023 | Fine | $42,764 |
| November 15, 2023 | Payment denial | from December 15, 2023, 13 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.19 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.11 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.39 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.69 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.47 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.18 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 57.0% | 36.6% | 45.3% |
| RN turnover (per year) | 50.0% | 37.8% | 42.5% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 34 nursing homes: Eduro Healthcare.
Legal business name: Fresno Nursing and Rehab Center LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Fresno Nursing and Rehab Center LLC | Direct owner | 100% | June 1, 2019 |
| Eduro Healthcare LLC | Indirect owner | 100% | June 1, 2019 |
| Fresno Nursing and Rehab Center LLC | Management company (operational or managerial control) | NOT APPLICABLE | June 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 65 |
| Average residents per day | 61.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Eduro Healthcare |
| Legal business name | Fresno Nursing and Rehab Center LLC |
| First approved by Medicare/Medicaid | 1971-02-25 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 3672 North First Street, Fresno, CA 93726 |
| County | Fresno County |
| State | California |
| Phone | (559) 227‑5383 |
| CMS Certification Number | 056266 |
| Name in Medicare records | KEYSTONE POST-ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Covenant Post Acute0.3 mi · Fresno, CA · 3 of 5 stars
- Oakwood Gardens Care Center0.3 mi · Fresno, CA · 4 of 5 stars
- Community Subacute and Transitional Care Center0.7 mi · Fresno, CA · 5 of 5 stars
- The Terraces at San Joaquin Gardens Village2.4 mi · Fresno, CA · 5 of 5 stars
- North Point Healthcare & Wellness Centre LP2.7 mi · Fresno, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Fresno VA Medical Center (VA Central California Healthcare System)1.0 mi · Fresno, CA · Federal/VA Acute Care Hospital
- Community Regional Medical Center3.0 mi · Fresno, CA · Acute Care Hospital
- Saint Agnes Medical Center3.7 mi · Fresno, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13