Nursing HomeInspections

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
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
65
Average residents per day
62
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 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 17, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 17, 2023 to Jul 17, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 17, 2026Honor 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
Jul 17, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 17, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 17, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 17, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 17, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jul 17, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Jul 17, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
E
Potential for more than minimal harm, pattern
Jul 17, 2026Have 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.
Nursing and Physician Services
F
Potential for more than minimal harm, widespread
May 8, 2026Ensure 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, 2026Ensure 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, 2025Honor 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

Showing the 12 most recent of 46. 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 Oct 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, 2023Fine: $42,764
Nov 15, 2023Payment denial for 13 days from Dec 15, 2023

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

Staffing

Total nurse staffing per resident per day
3.69 hours
Registered nurse (RN) time per resident per day
0.19 hours
Nurse aide time per resident per day
2.39 hours
Total nurse staffing on weekends
3.47 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
50%

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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