Keystone Post-acute in Fresno, CA

Keystone Post-acute is a medicare and medicaid certified nursing home in Fresno, California. It is located in Fresno county at 3672 North First Street, Fresno, California 93726. You can reach out to the office of Keystone Post-acute via phone at (559) 227-5383. This skilled nursing facility has 65 federally certified beds with average occupancy rate of 93.38%. Its legal business name is Fresno Nursing and Rehab Center LLC and has the following ownership type - For Profit - Limited Liability Company. It is part of Eduro Healthcare, a chain of 34 nursing homes.

Keystone Post-acute (Medicare CCN 056266) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1971 (55 years certified) and the last quality survey was conducted in May, 2025.

Contact Information

Keystone Post-acute
3672 North First Street, Fresno, California 93726
(559) 227-5383

Map and Direction



Nursing Home Profile

NameKeystone Post-acute
Location3672 North First Street, Fresno, California
Certified ByMedicare and Medicaid
No. of Certified Beds65
Occupancy Rate93.38%
Medicare ID (CCN)056266
Legal Business NameFresno Nursing and Rehab Center LLC
Ownership TypeFor Profit - Limited Liability Company
ChainEduro Healthcare (34 nursing homes)
Chain Average Overall Rating2.4 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Keystone Post-acute in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1528625811
MatchConfirmed listed in Medicare enrollment records
Organization NameFresno Nursing and Rehab Center LLC
Doing Business AsFresno Nursing Center
Address3672 N 1st St, Fresno, CA 93726
Phone Number801-601-1450

NPI Number1700337961
MatchPossible same name, address or phone number
Organization NameDycora Transitional Health - Chowchilla LLC
Address1010 Ventura Ave, Chowchilla, CA 93610
Phone Number559-227-5383

NPI Number1033987912
MatchPossible same name, address or phone number
Organization NameFirst Skilled Care LLC
Address3672 N 1st St, Fresno, CA 93726
Phone Number559-227-5383

NPI Number1558812727
MatchPossible same name, address or phone number
Organization NameDycora Transitional Health - Community Care LLC
Address3672 N 1st St, Fresno, CA 93726
Phone Number559-977-3358

NPI Number1447793419
MatchPossible same name, address or phone number
Organization NameSuites Fort Collins LLC
Doing Business AsThe Suites Fort Collins
Address4880 Ziegler Rd, Fort Collins, CO 80528
Phone Number801-601-1450

NPI Number1063506848
MatchPossible same name, address or phone number
Organization NameBee Hive Skilled Care Home, LLC
Address370 W 500 N, Orem, UT 84057
Phone Number801-223-4344

NPI Number1336655109
MatchPossible same name, address or phone number
Organization NamePeaks Nursing and Rehab Center, LLC
Address370 W 500 N, Orem, UT 84057
Phone Number801-601-1450

NPI Number1609125715
MatchPossible same name, address or phone number
Organization NameThe Peaks Care and Rehab, Inc
Address370 West 500 North, Orem, UT 84057
Phone Number801-223-4344

NPI Number1619979986
MatchPossible same name, address or phone number
Organization NameBee Hive Skilled Care Home LLC
Address370 W 500 N, Orem, UT 84057
Phone Number801-223-4344

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Keystone Post-acute are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Keystone Post-acute give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Keystone Post-acute, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.933.86
Registered nurse (RN) hours per resident per day0.230.69
Licensed practical nurse (LPN) hours per resident per day1.220.86
Nurse aide hours per resident per day2.472.32
Total nurse staff hours per resident per day on the weekend3.513.42
RN hours per resident per day on the weekend0.160.48
Physical therapist hours per resident per day0.090.07
Total nursing staff turnover47.1%45.8%
Registered nurse turnover42.9%42.9%
Number of administrators who have left the nursing homeNot available: no valid staffing data was submitted0.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines1
Total Amount of Fines in Dollars$42,764
Number of Payment Denials1
Total Number of Penalties2

Health Inspections:

In its most recent inspection cycle (standard health inspection in May, 2025, plus any complaint inspections), inspectors cited Keystone Post-acute for 14 health deficiencies (national average: 9.3). The 30 most recent of its 48 citations since 2022 are listed below.

DateDeficiencyHarm LevelStatus
May 8, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by May 30, 2026
Feb 5, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627, Resident Rights, Complaint inspection
Potential for harm, isolatedCorrected by Feb 27, 2026
May 30, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Jun 26, 2025
May 30, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jun 26, 2025
May 30, 2025Ensure that residents are free from significant medication errors.
F0760, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jun 26, 2025
May 30, 2025Ensure 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.
F0761, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jun 26, 2025
May 30, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Give the resident's representative the ability to exercise the resident's rights.
F0551, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Honor 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.
F0584, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656, Resident Assessment and Care Planning, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835, Administration, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
May 30, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919, Environmental, Standard inspection
Potential for harm, isolatedCorrected by Jun 26, 2025
Mar 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Apr 2, 2025
Oct 3, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Oct 22, 2024
Oct 3, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Oct 22, 2024
Aug 21, 2024Honor 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.
F0584, Resident Rights, Complaint inspection
Potential for harm, patternCorrected by Sep 13, 2024
Jun 13, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Complaint inspection
Potential for harm, widespreadCorrected by Jul 5, 2024
Apr 26, 2024Try 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.
F0700, Quality of Life and Care, Standard inspection
Potential for harm, widespreadCorrected by May 31, 2024
Apr 26, 2024Have 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.
F0727, Nursing and Physician Services, Standard inspection
Potential for harm, widespreadCorrected by May 31, 2024
Apr 26, 2024Implement 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.
F0758, Pharmacy Service, Standard inspection
Potential for harm, widespreadCorrected by May 31, 2024
Apr 26, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by May 31, 2024
Apr 26, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
F0552, Resident Rights, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Honor 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.
F0584, Resident Rights, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726, Nursing and Physician Services, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by May 31, 2024
Apr 26, 2024Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by May 31, 2024

Quality of Resident Care:

These quality measures of Keystone Post-acute, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased5.6513.87
Percentage of long-stay residents who lose too much weight5.955.19
Percentage of long-stay residents with a catheter inserted and left in their bladder1.070.82
Percentage of long-stay residents with a urinary tract infection1.951.59
Percentage of long-stay residents who have depressive symptoms012.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury0.493.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10093.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine91.5982.04
Percentage of short-stay residents who newly received an antipsychotic medication3.241.56
Percentage of long-stay residents whose ability to walk independently worsened10.1914.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.9719.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.1695.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine85.5179.75
Percentage of long-stay residents with pressure ulcers3.814.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1219.01
Percentage of long-stay residents who received an antipsychotic medication5.9815.38

Reviews and Comments


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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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