Total health inspections
11
State average N/A
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Keystone Post Acute
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Keystone Post Acute
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
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.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 58m per day
Rank #160 / 294Nurse hours — state benchmarkedThis home is ranked 160th out of 294 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 294 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
Standout metric
Physical Therapist is +140% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 18m per day | ▼ 54% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 14m per day | ■ Avg State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 24m per day | ▼ 9% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 3h 25m per day | ▼ 16% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 12m per day | ▲ 140% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 14m per day | ▼ 53% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home is often near full
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Occupancy rate
95.3%
Rank #21 / 301Occupancy rate — state benchmarkedThis home is ranked 21st out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
166 days
Occupancy rate
95.3%
Rank #21 / 301Occupancy rate — state benchmarkedThis home is ranked 21st out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
166 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
66% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
25% of new residents, often for short stays.
Typical stay
28 days
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M
Operating loss
-$375.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M Rank #243 / 299Revenue — state benchmarkedThis home is ranked 243rd out of 299 homes in California.Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$375.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #231 / 299Payroll — state benchmarkedThis home is ranked 231st out of 299 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #231 / 299Payroll — state benchmarkedThis home is ranked 231st out of 299 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
Walk Score: 66 / 100 Rank #124 / 243Walk Score — state benchmarkedThis home is ranked 124th out of 243 homes in California.Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
License Number#040000104
Rehabilitation Services
Licensed Nurses/CNAs
24-Hour Staffing
24-Hour Licensed Nursing Care
Individualized Care Plans And Transition Support
Resident And Family Care Meetings
Daily Housekeeping And Laundry Service
Emergency Call Response In Every Room
Semiprivate Rehab Suites
Specialized Meal Programming
Spacious
Comfortable Common Areas
Wi-Fi For Individual Engagement
Specific ProgramsPain Management, Catheter Care, Ostomy Care, IV Therapy/Antibiotic Management, Nutrition and Hydration Programs, Diabetes Care, Cardiac Care, CVA/Stroke Care, Wound Care/Negative Pressure Wound Therapy, Joint Replacement/Fracture Care, Physical Therapy, Occupational Therapy, Speech Therapy, Lipidemia Therapy, Orthopedic Rehab, Cardiac Heart Failure Program, Neurologic Rehab for Stroke, Multiple Sclerosis, and Parkinson’s, Fall Prevention Program, Adaptive/Assistive Equipment, Activities of Daily Living Retraining, Balance and Vestibular Therapy
Operating Hours24 hours a day, 7 days a week
What does this home offer?
Total Residents: 60 Residents
Housing Options: Semi-Private Rooms
Building Type: Single-story
Dining Services
Health Programs
Recreational Activities
Housekeeping Services
Types of Care at Keystone Post Acute
Nursing Home
Health Inspection History
Inspections
Total health citations
50
Rank #201 / 298Health citations — state benchmarkedThis home is ranked 201st out of 298 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 298 CA SNFs. Lower citation counts earn a better rank.
State average N/A
Citations per inspection
4.55
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
39 of 50 citations resulted from standard inspections; and 11 of 50 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
Rank #120 / 147Severe citations — state benchmarkedThis home is ranked 120th out of 147 homes in California.Shows citations where actual resident harm occurred, compared to the California average and ranked across 147 SNFs statewide. Even a single severe citation is significant — lower is always better.
In line with State averageState average: N/A
Serious Health citations
4
4
In line with State averageState average: N/A
0 critical citations
4 serious citations
46 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 30, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 30, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 30, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 30, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 30, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 30, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| Alexandria Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Los Angeles (East Hollywood) | 177 | No | - | 92 | Semi-Private Rooms |
| Alvarado Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Los Angeles (Pico-Union) | 72 | No | A+ | 95 | Semi-Private Rooms |
| Keystone Post Acute |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Fresno (Mclane) | 65 | No | - | 66 | Semi-Private Rooms |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Amani Place AFH III |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Spokane Valley | - | No | - | 1 | Semi-Private Rooms |
Places of interest near Keystone Post Acute
4.6 miles from city center
Estimated distance in miles from Fresno's city center to Keystone Post Acute's address, calculated via Google Maps.
Calculate Travel Distance to Keystone Post Acute
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
159
Employees
102
Contractors
57
Staff to resident ratio
2.56:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
44
Average shift
7.2 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
28,895
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
38
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
71
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.2%
913 contractor hours this quarter
Certified Nursing Assistant: 30
Licensed Practical Nurse: 24
Feeding Assistant: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 41 | 30 | 71 | 14,249 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 14 | 24 | 38 | 4,423 | 91 | 100% | 7.6 |
| Registered Nurse | 8 | 0 | 8 | 1,749 | 87 | 96% | 8.6 |
| RN Director of Nursing | 5 | 0 | 5 | 1,498 | 65 | 71% | 8.1 |
| Dental Services Staff | 3 | 0 | 3 | 1,312 | 68 | 75% | 7.8 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,154 | 75 | 82% | 5.6 |
| Physical Therapy Assistant | 4 | 0 | 4 | 960 | 77 | 85% | 6.5 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 827 | 73 | 80% | 5.2 |
| Physical Therapy Aide | 3 | 0 | 3 | 715 | 79 | 87% | 5.9 |
| Dietitian | 2 | 0 | 2 | 422 | 56 | 62% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 320 | 40 | 44% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 248 | 58 | 64% | 4.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 232 | 28 | 31% | 8.3 |
| Qualified Social Worker | 2 | 0 | 2 | 217 | 35 | 38% | 6.2 |
| Administrator | 1 | 0 | 1 | 208 | 26 | 29% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 160 | 20 | 22% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 104 | 26 | 29% | 4 |
| Medical Director | 0 | 1 | 1 | 52 | 26 | 29% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 22 | 12 | 13% | 1.8 |
71 Certified Nursing Assistant
% of Days
100%
38 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
96%
5 RN Director of Nursing
% of Days
71%
3 Dental Services Staff
% of Days
75%
6 Speech Language Pathologist
% of Days
82%
4 Physical Therapy Assistant
% of Days
85%
7 Respiratory Therapy Technician
% of Days
80%
3 Physical Therapy Aide
% of Days
87%
2 Dietitian
% of Days
62%
2 Clinical Nurse Specialist
% of Days
44%
1 Other Dietary Services Staff
% of Days
64%
1 Qualified Activities Professional
% of Days
31%
2 Qualified Social Worker
% of Days
38%
1 Administrator
% of Days
29%
1 Nurse Practitioner
% of Days
22%
1 Occupational Therapy Aide
% of Days
29%
1 Medical Director
% of Days
29%
1 Occupational Therapy Assistant
% of Days
3%
1 Feeding Assistant
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62
Medicare
14
22.6% of residents
Medicaid
46
74.2% of residents
Private pay or other
2
3.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
27% better than State averageState average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
30% better than State averageState average: 11.3
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
22% better than State averageState average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.7%
Percent of long-stay residents whose ability to move independently worsened
8.7%
27% better than State averageState average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.5%
43% better than State averageState average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
124% worse than State averageState average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
68% better than State averageState average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
14% worse than State averageState average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
63% better than State averageState average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.1%
Percent of long-stay residents who have depressive symptoms
1.1%
84% better than State averageState average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.3%
Percent of long-stay residents who received an antipsychotic medication
12.3%
22% worse than State averageState average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with State averageState average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with State averageState average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.99
Number of hospitalizations per 1,000 long-stay resident days.
1.99
12% better than State averageState average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.29
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.29
19% better than State averageState average: 1.59
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.1%
19% worse than State averageState average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
48% better than State averageState average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
8% worse than State averageState average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.5%
27% worse than State averageState average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
69% worse than State averageState average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
86% worse than State averageState average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% worse than State averageState average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
41.9%
Rate of successful return to home or community from a skilled nursing facility.
41.9%
17% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$43K
22% lower than State averageState average: $55K
Number of fines
1 Rank #73 / 135Federal fines — state benchmarkedThis home is ranked 73rd out of 135 homes in California.Shows this facility's CMS fine count alongside the California average, and where it ranks among all 135 skilled nursing facilities in the state. Fewer fines mean a better rank.
58% fewer fines than State averageState average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$43K
State average
$55K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2023
$43K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 15, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 15, 2023
13 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Keystone Post Acute based on CMS SNF Cost Reports.
Occupancy Rate
95.3%
↑ 14.3pp vs 2022
Net Income
-$375.0K
↑ ~$776.2K vs 2022
Total Payroll
$5.7M
↑ ~$961.2K vs 2022
Profit Margin
-4.6%
↑ 11.4pp vs 2022
Loading trend charts...
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Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Keystone Post Acute
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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