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

Managed by Licensed Therapists

Healthcare Administrator

The community administrator oversees healthcare operations at Keystone Post Acute, ensuring quality care and coordination among licensed therapists, nurses, and medical staff. This role is central to maintaining the facility’s commitment to resident health and well-being.

Home Information KEYSTONE POST-ACUTE
  • This nursing home maintains occupancy well above most state peers, signaling sustained demand. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents tend to stay here longer than similar facilities across the state.

  • Home revenue sits below most peers, indicating modest billing throughput. Payroll costs fall below most facilities, hinting at lean staffing budgets. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights fall below most peers, pointing to lighter Medicaid reliance. Private pay nights trail most peers, signaling limited market-rate volume.

Occupancy
Beds
60 Residents
Occupancy
93.2%
Total Bed Days Available
23725
Avg. Length of Stay
240 days
Avg. Residents per Day
61
Finance
Home Revenue
$7,202,552.00
Payroll Costs
$3,388,745.00
Profit
$-1,151,165.00
Total Home Costs
$7,644,009.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
47%
House Specifics:
CCN
56266
Owner Name
FRESNO NURSING AND REHAB CENTER LLC
Rural vs. Urban
Urban
County
Fresno
Type of Control
Proprietary — Individual
Operations
Total Admissions
86
Total Discharges
80
% Medicaid Admissions
22%
% Medicare Admissions
49%
% Private Pay Admissions
29%
% Medicaid Discharges
31%
% Medicare Discharges
34%
% Private Pay Discharges
35%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
2 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
2 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
2 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
3 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.96 hrs
Number of Fines
2
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
13898
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
2130
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
3175

What does this home offer?

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Total Residents: 60 Residents

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Housing Options: Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Health Programs

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Recreational Activities

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Housekeeping Services

Types of Care at Keystone Post Acute

Nursing Home
Contact Keystone Post Acute
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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

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Comparison Chart

The information below is reported by the California Department of Social Services and Department of Public Health.
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Keystone Post Acute
SNF

24/7 care needed

Fresno
65
No
66
FRESNO NURSING AND REHAB CENTER LLC
93.2%
$7,202,552.00
$3,388,745.00
47%
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3.9592
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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.

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