Keystone Post-Acute
3672 North First Street · Fresno, CA · 93726 · 5592275383
65 certified beds For profit - Limited Liability company Chain: Eduro Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $42,764 |
Inspection citations (47 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D May 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D May 30, 2025
Give the resident's representative the ability to exercise the resident's rights.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D 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.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D 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.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · E May 30, 2025
Ensure that residents are free from significant medication errors.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · E May 30, 2025
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.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · F May 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D May 30, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 26, 2025 · Administration
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Potential for harm · D May 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
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Potential for harm · D May 30, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 26, 2025 · Environmental
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Potential for harm · D March 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · D October 3, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 21, 2024 · found via complaint
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.
Corrected September 13, 2024 · Resident Rights
-
Potential for harm · F June 13, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 5, 2024 · Nutrition and Dietary
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Potential for harm · E April 26, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 31, 2024 · Resident Rights
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Potential for harm · E April 26, 2024
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.
Corrected May 31, 2024 · Resident Rights
-
Potential for harm · E April 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 31, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E April 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 26, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · F April 26, 2024
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.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · E April 26, 2024
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.
Corrected May 31, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 15, 2023 | Fine | $42,764 |
| November 15, 2023 | Payment Denial | 13 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056266 · certified since February 25, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.