Keystone Post-Acute

Nursing home in Fresno, CA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address: 3672 North First Street, Fresno, CA 93726
Phone: (559) 227-5383
Listed under: For-profit
Medicare CCN: 056266
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 3 of 5
Certified beds: 65
Average residents per day: 61
Ownership: For-profit, limited Liability company
Legal business name: Fresno Nursing and Rehab Center LLC
Chain: Eduro Healthcare (34 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Feb 25, 1971
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident and family councils
Sprinklers in all required areas: Yes

CMS certification number 056266. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 30, 2025. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 5, 2022 to May 8, 2026): 9 from complaint inspections, 3 at the “actual harm” level or higher.

Inspection	Citation	Severity
May 8, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Feb 5, 2026	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 30, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
May 30, 2025	Give the resident's representative the ability to exercise the resident's rights. Resident Rights	D Potential for more than minimal harm, isolated
May 30, 2025	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. Resident Rights	D Potential for more than minimal harm, isolated
May 30, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 30, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 30, 2025	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration	D Potential for more than minimal harm, isolated
May 30, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
May 30, 2025	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental	D Potential for more than minimal harm, isolated
May 30, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	E Potential for more than minimal harm, pattern
May 30, 2025	Ensure that residents are free from significant medication errors. Pharmacy Service	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 48. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $42,764 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 15, 2023	Fine: $42,764
Nov 15, 2023	Payment denial for 13 days from Dec 15, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.93 hours
Registered nurse (RN) time per resident per day: 0.23 hours
Nurse aide time per resident per day: 2.47 hours
Total nurse staffing on weekends: 3.51 hours
Nursing staff turnover (yearly): 47%
RN turnover (yearly): 43%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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