Keystone Post Acute

Keystone Post Acute

3672 N First St, Fresno, CA 93726 View Map

Keystone Post Acute is an Assisted Living Home in California

Keystone Post Acute is an Assisted Living Home in California

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Overview of Keystone Post Acute

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.

+1 559-227-5383

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.96/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Capacity and availability

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in the state
Occupancy rate 95.3%
Residents per day (avg) 61
Occupancy rate
95.3%
Residents per day (avg)
61

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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

Proprietary home
Corporation
Home revenue
$8.3M
Operating loss
-$375.0K
Proprietary home Corporation
Home revenue
$8,311,792.00
Operating loss
$-374,978.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
52.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
Total costs $8.7M

What does this home offer?

Total residents icon
Total residents icon

Total Residents: 60 Residents

Housing options icon
Housing options icon

Housing Options: Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Health Programs icon

Health Programs

Recreational activities icon
Recreational activities icon

Recreational Activities

Housekeeping icon
Housekeeping icon

Housekeeping Services

Types of Care at Keystone Post Acute

Nursing Home
Contact Keystone Post Acute

Comparison Chart

The information below is reported by the California Department of Social Services and Department of Public Health.
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FRESNO NURSING AND REHAB CENTER LLC
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Places of interest near Keystone Post Acute

Address 4.6 miles from city center

Address 3672 N First St, Fresno, CA 93726

Calculate Travel Distance to Keystone Post Acute

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

159
Total Staff
102
Employees
57
Contractors
28,895
Total Hours (Quarter)
44
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse88.6 No
Licensed Practical Nurse387.6 Yes
Certified Nursing Assistant717.5 Yes
Staff by Category
Administration
2 staff
5hs shift avg
Nursing Staff
123 staff
7.6hs shift avg
Physicians & Practitioners
3 staff
8hs shift avg
Therapy Services
22 staff
5.7hs shift avg
Activities & Recreation
1 staff
8.3hs shift avg
Social Services
2 staff
6.2hs shift avg
Dietary Services
3 staff
5.9hs shift avg
Other Services
3 staff
7.8hs shift avg
Contractor Analysis
3.2%
of total hours from contractors
913 contractor hours this quarter
Licensed Practical Nurse: 24 Certified Nursing Assistant: 30 Feeding Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant41307114,24991100%7.5
Licensed Practical Nurse1424384,42391100%7.6
Registered Nurse8081,7498796%8.6
RN Director of Nursing5051,4986571%8.1
Dental Services Staff3031,3126875%7.8
Speech Language Pathologist6061,1547582%5.6
Physical Therapy Assistant4049607785%6.5
Respiratory Therapy Technician7078277380%5.2
Physical Therapy Aide3037157987%5.9
Dietitian2024225662%7.5
Clinical Nurse Specialist2023204044%8
Other Dietary Services Staff1012485864%4.3
Qualified Activities Professional1012322831%8.3
Qualified Social Worker2022173538%6.2
Administrator1012082629%8
Nurse Practitioner1011602022%8
Occupational Therapy Aide1011042629%4
Medical Director011522629%2
Occupational Therapy Assistant0112433%8
Feeding Assistant011221213%1.8

Health Inspection History

Source: CMS Health Citations (Aug 2022 – May 2025)

11
Inspections
50
Total Citations
0
Critical (J-L)
4
Serious (G-I)
4.55
Citations/Inspection
May 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
46
Serious (G-I)
4
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Resident Rights
8
16% of total
Pharmacy Services
7
14% of total
Infection Control
6
12% of total
Quality of Life & Care
6
12% of total
Environmental
3
6% of total
Administration
2
4% of total
Citation Sources
Standard Inspections 39
Complaint Investigations 11
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
May 30, 2025 D AdministrationF0835 Corrected
May 30, 2025 D EnvironmentalF0919 Corrected
May 30, 2025 D Infection ControlF0880 Corrected
May 30, 2025 F NutritionF0812 Corrected
May 30, 2025 E PharmacyF0755 Corrected
May 30, 2025 E PharmacyF0760 Corrected
May 30, 2025 E PharmacyF0761 Corrected
May 30, 2025 D Care PlanningF0656 Corrected
May 30, 2025 D Care PlanningF0658 Corrected
May 30, 2025 D Resident RightsF0550 Corrected
May 30, 2025 D Resident RightsF0551 Corrected
May 30, 2025 D Resident RightsF0584 Corrected
Mar 13, 2025 D Quality of CareF0689 Corrected
Oct 03, 2024 D Care PlanningF0656 Corrected
Oct 03, 2024 D Care PlanningF0842 Corrected
Aug 21, 2024 E Resident RightsF0584 Corrected
Jun 13, 2024 F NutritionF0812 Corrected
Apr 26, 2024 E AdministrationF0940 Corrected
Apr 26, 2024 D EnvironmentalF0908 Corrected
Apr 26, 2024 D EnvironmentalF0924 Corrected
Apr 26, 2024 E Infection ControlF0880 Corrected
Apr 26, 2024 D Infection ControlF0883 Corrected
Apr 26, 2024 E Nursing ServicesF0726 Corrected
Apr 26, 2024 F Nursing ServicesF0727 Corrected
Apr 26, 2024 F NutritionF0812 Corrected
Apr 26, 2024 F PharmacyF0758 Corrected
Apr 26, 2024 D Quality of CareF0692 Corrected
Apr 26, 2024 F Quality of CareF0700 Corrected
Apr 26, 2024 E Care PlanningF0656 Corrected
Apr 26, 2024 E Care PlanningF0658 Corrected
Apr 26, 2024 E Care PlanningF0842 Corrected
Apr 26, 2024 E Resident RightsF0552 Corrected
Apr 26, 2024 E Resident RightsF0584 Corrected
Nov 15, 2023 G Quality of CareF0689 Corrected
Oct 17, 2023 D Care PlanningF0656 Corrected
May 25, 2023 D Resident RightsF0583 Corrected
Dec 20, 2022 E Abuse/NeglectF0607 Corrected
Dec 20, 2022 E PharmacyF0756 Corrected
Dec 20, 2022 H Resident RightsF0559 Corrected
Aug 05, 2022 E Infection ControlF0880 Corrected
Aug 05, 2022 F Infection ControlF0881 Corrected
Aug 05, 2022 F Infection ControlF0882 Corrected
Aug 05, 2022 E NutritionF0803 Corrected
Aug 05, 2022 F NutritionF0812 Corrected
Aug 05, 2022 D PharmacyF0755 Corrected
Aug 05, 2022 D PharmacyF0761 Corrected
Aug 05, 2022 E Quality of CareF0679 Corrected
Aug 05, 2022 G Quality of CareF0689 Corrected
Aug 05, 2022 G Care PlanningF0656 Corrected
Aug 05, 2022 E Care PlanningF0658 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Jericho Care Group
Resident Census by Payment Source
62 Total Residents
Medicare 14 (22.6%)
Medicaid 46 (74.2%)
Private Pay/Other 2 (3.2%)
Programs & Services
Residents' Group
Family Member Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
4.9 Score
27% better than avg avg: 6.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
8.0 Score
30% better than avg avg: 11.3

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
8.7%
Lost Too Much Weight
1.6%
Urinary Tract Infection
1.4%
Depressive Symptoms
1.1%
Falls with Major Injury
3.7%
Pneumococcal Vaccine
96.7%
Antipsychotic Use
12.3%
Walking Ability Worsened
8.7%
Influenza Vaccine
95.2%
High Risk Residents with Pressure Ulcers
1.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
6.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
76.1% 19% worse than avg : 94.0%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.8% 48% better than avg : 1.5%
Influenza Vaccine
85.5% 8% worse than avg : 93.2%

Penalties & 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 $43K avg: $55K 22% better than avg
Number of Fines 1 avg: 2.4
Payment Denials 1 13 total days
Compared to Average Facility: $43K | Avg: $55K
Penalty History

Showing all 2 penalties (Nov 2023 - Nov 2023)

Nov 15, 2023 Civil Money Penalty
$43K
Nov 15, 2023 Payment Denial
13 days

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