Nursing Homes · Medicare certified
Keystone Post-Acute
3672 North First Street · Fresno, CA 93726 · 65 certified beds
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About Keystone Post-Acute
Keystone Post-Acute is a nursing home in Fresno, California. Its capacity is 65 beds, below the Fresno County median of 99 for nursing homes. It is run by a for-profit operator and is part of Eduro Healthcare. It is Medicare certified. Its public inspection record shows 48 citations, the most recent on May 8, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.69 hours per resident per day. It is one of 20 nursing homes listed in Fresno. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (48)
Records from August 2022 to May 2026.
April 26, 2024
Tag F0700Try 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0908Keep all essential equipment working safely.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0758Implement 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 l….
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
April 26, 2024
Tag F0924Put firmly secured handrails on each side of hallways.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
November 15, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected December 28, 2023.
October 17, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 2, 2023.
August 5, 2022
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected November 22, 2022.
August 5, 2022
Tag F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 30, 2022.
August 5, 2022
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2022.
Penalties (2)
Total fines: $42,764
November 15, 2023 · Fine
CMS recorded a civil money penalty of $42,764 against this nursing home on November 15, 2023.
November 15, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 15, 2023, lasting 13 days (triggered by inspection on November 15, 2023).
Staffing
3.69 nurse hours per resident per day in Q2 2026, down from 3.85 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Eduro Healthcare, a chain of 34 nursing homes.
Average CMS star ratings across the chain: 2.4 overall, 2.5 for health inspections, 2.1 for staffing, 3.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
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