Nursing home
Keystone Post-Acute
3672 North First Street, Fresno, CA 93726 · Map
For profit - Limited Liability company · Part of Eduro Healthcare (36 facilities) · 65 certified beds
Keystone Post-Acute is a Medicare-certified nursing home in Fresno, California. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.94 hours per resident per day, below the California average of 4.51. Its most recent inspection on May 30, 2025 cited 13 deficiencies.
- 1 fine totaling $42,764In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Keystone Post-Acute compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.94 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.40 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 68.8% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $42,764, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Keystone Post-Acute
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · May 30, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3672 North First Street
Fresno, CA 93726 - CMS certification #
- 056266
- Ownership
- For profit - Limited Liability company
- Certified beds
- 65
- Avg residents/day
- 59.6
- Provider type
- Medicare and Medicaid
- First certified
- 1971-02-25
- Chain
- Eduro Healthcare (36 facilities)
- Setting
- Urban
Part of Eduro Healthcare
Eduro Healthcare operates 36 nursing facilities across the United States. View all Eduro Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Keystone Post-Acute using Google Maps.
Other public records
- Website says Nurse 24 hours a day, diabetes care
- Workplace safety 1 OSHA workplace safety inspection since 2022, 4 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Keystone Post-Acute says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 15, 2022: programmed (planned) inspection, complete (safety). Case closed May 1, 2023. 4 violations cited (2 serious, 2 other). Penalties: $12,020 proposed, $7,000 now. OSHA record. OSHA recorded the employer as Fresno Nursing Center. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3203(A). Penalty $160 proposed, $125 now. To be fixed by Apr 14, 2023.
- Other than serious: Cited rule 3216(A). Penalty $160 proposed, $125 now. To be fixed by Apr 14, 2023.
- Serious: Cited rule 4050(A). Penalty $5,850 proposed, $3,375 now.
- Serious: Cited rule 5162(A). Penalty $5,850 proposed, $3,375 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 3.0 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Oakwood Gardens Care Center, Fresno. 0.3 miles away, straight line.
- Nearest home health agency office
- St Mary'S Home Health Services, Inc, Fresno. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93726 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- San Joaquin Valley Dialysis, Fresno, 0.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Ash Tree Dialysis, Fresno, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Community Dialysis Center, Fresno, 2.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 42 Medicare hospices tell CMS they serve ZIP code 93726.
St Mary'S Hospice Services, Inc, office in Fresno, 0.3 miles away, straight line
Blessed Hands Hospice Inc, office in Fresno, 0.8 miles away, straight line
Hospice Of The Valley, office in Fresno, 1.9 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 4.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Keystone Post-Acute a good nursing home?
CMS gives Keystone Post-Acute an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Keystone Post-Acute staffed?
Keystone Post-Acute reports 3.94 total nurse hours per resident per day, compared with the California average of 4.51.
Has Keystone Post-Acute had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Keystone Post-Acute have?
Keystone Post-Acute is certified for 65 beds.