Enjoy comprehensive care from Keystone Post Acute, an esteemed community in Fresno, CA, that offers skilled nursing and rehabilitation. Residents receive top-notch care with a respectful and specially trained team attending to their needs 24/7, ensuring their comfort and safety. Promoting a cozy and nurturing environment, residents keep peace of mind in the community’s purposely built and spacious accommodations.
There’s no need to worry about daily living activities and household responsibilities, with the community handling them. Family members are also encouraged to actively coordinate with the community to stay updated about their loved ones’ care plans. Mealtimes are prepared according to each resident’s dietary needs and preferences, ensuring the finest dining experience. Here, residents experience a worry-free retirement with the community’s state-of-the-art amenities and dedicated services.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs California averages
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
4 of 6 metrics below state avg
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.99
12% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.29
19% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.5%
27% worse than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
69% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
86% worse than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% worse than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.9%
17% worse than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
No pets allowed
Housing Options: Semi-Private Rooms
Building Type: Single-story
Health Programs
Recreational Activities
Housekeeping Services
3.3 miles from city center
Estimated distance in miles from Fresno's city center to Keystone Post Acute's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Terraces at San Joaquin Gardens a CCRC | NH AL IL MC SNF | Fresno | 652
Facility
652
CA AVG
103
Rank
#9 / 1,645 |
57.2%
Facility
57.2%
CA AVG
75.9%
Rank
#1,231 / 1,452 | -25% | 5.44
Facility
5.44
CA AVG
4.22
Rank
#21 / 288 | +27% | +29% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 32
Facility
32
CA AVG
50.2
Rank
#106 / 290 | 4.6
Facility
4.6
CA AVG
4.6
Rank
#179 / 290 | 1 | 373 | A+ |
57
Facility
57
CA AVG
58
Rank
#1,156 / 2,057 | Humangood Fresno | $33.9MFiscal year ending 12/2023
Facility
$33.9MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#11 / 259 | $13.6MFiscal year ending 12/2023
Facility
$13.6MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#32 / 259 | 40.2%Fiscal year ending 12/2023
Facility
40.2%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#250 / 259 | 55846 | ||||
| North Pointe Care Center | NH MC RC SNF | Fresno | 99
Facility
99
CA AVG
103
Rank
#724 / 1,645 |
92.3%
Facility
92.3%
CA AVG
75.9%
Rank
#288 / 1,452 | +22% | 3.49
Facility
3.49
CA AVG
4.22
Rank
#257 / 288 | +19% | -17% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 21
Facility
21
CA AVG
50.2
Rank
#37 / 290 | 4.2
Facility
4.2
CA AVG
4.6
Rank
#156 / 290 | - | 91 | - |
80
Facility
80
CA AVG
58
Rank
#416 / 2,057 | North Point Wellness Gp LLC | $11.0M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $6.5M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 58.7%*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 555179 | ||||
| Evergreen Life Care Homes | NH HOS MC RC SNF | Fresno (Roosevelt) | 49
Facility
49
CA AVG
103
Rank
#1,130 / 1,645 |
94.5%
Facility
94.5%
CA AVG
75.9%
Rank
#235 / 1,452 | +25% | 3.42
Facility
3.42
CA AVG
4.22
Rank
#267 / 288 | -27% | -19% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 33
Facility
33
CA AVG
50.2
Rank
#114 / 290 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#53 / 290 | 2 | 46 | A+ |
37
Facility
37
CA AVG
58
Rank
#1,603 / 2,057 | Evergreen Care Center Holdings LLC | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#224 / 259 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#255 / 259 | 32.6%Fiscal year ending 12/2023
Facility
32.6%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#257 / 259 | 555920 | ||||
| Horizon Health & Subacute Center | NH SNF | Fresno | 180
Facility
180
CA AVG
103
Rank
#209 / 1,645 |
85.8%
Facility
85.8%
CA AVG
75.9%
Rank
#443 / 1,452 | +13% | 4.45
Facility
4.45
CA AVG
4.22
Rank
#88 / 288 | -29% | +6% | $22.9k
Facility
$22.9k
CA AVG
$56.5k
Rank
#221 / 293 | 43
Facility
43
CA AVG
50.2
Rank
#156 / 290 | 3.1
Facility
3.1
CA AVG
4.6
Rank
#64 / 290 | 2 | 155 | - |
58
Facility
58
CA AVG
58
Rank
#1,126 / 2,057 | Chad Galley | $17.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $10.3M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 60%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 55199 |
Keystone Post Acute is located in Fresno, California.
Here are the financial assistance programs available to residents in California.
Keystone Post Acute is in the McLane neighborhood of Fresno.
Keystone Post Acute has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
No, Keystone Post Acute has a no-pet policy.
Yes — there are 4 photos of Keystone Post Acute in the photo gallery on this page.
Keystone Post Acute is located at 3672 N First St, Fresno, CA 93726.
(559) 227-5383 will put you in contact with the team at Keystone Post Acute.
Keystone Post Acute is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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