Assisted Living Home

Keystone Post Acute

Assisted Living Home

Keystone Post Acute

3672 N First St, Fresno, CA 93726 View map
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.

(559) 227-5383

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

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

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 58m per day

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

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
$8,311,792.00
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
Walk Score
Walk Score: 66 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Additional licensing details

License number: #040000104

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing
Rehabilitation

Amenities & Lifestyle

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

Programs & Activities

Specific Programs
Skilled Nursing, Rehabilitation, Medication Management, Pain Management, Incontinence Care, 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 Hours
24 hours a day, 7 days a week

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

Health Inspection History

Inspections
Total health inspections 11

State average N/A


Last Health inspection on May 2025

Total health citations 50
Citations per inspection
4.55

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 More info 0
In line with State average

State average: N/A


Serious Health citations More info 4
In line with State average

State average: N/A

0 critical citations More info State average: N/A

4 serious citations More info State average: N/A

46 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Administration moderate citation May 30, 2025
Corrected

Environmental moderate citation May 30, 2025
Corrected

Infection Control moderate citation May 30, 2025
Corrected

Nutrition moderate citation May 30, 2025
Corrected

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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

Facility Characteristics

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

Total census
62 residents
Residents by payment source
Medicare
14 residents (22.6%)
Medicaid
46 residents (74.2%)
Private pay or other
2 residents (3.2%)
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.

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 Info 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 average

State average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.0
30% better than State average

State average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.7%
22% better than State average

State average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.7%
27% better than State average

State average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 6.5%
43% better than State average

State average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
124% worse than State average

State average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.6%
68% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
14% worse than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
63% better than State average

State average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.1%
84% better than State average

State average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.3%
22% worse than State average

State average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
In line with State average

State average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
In line with State average

State average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.1%
19% worse than State average

State average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
48% better than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 85.5%
8% worse than State average

State average: 93.2%

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 average

State average: $55K

Number of fines 1
58% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
102% more payment denials than State average

State 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 15, 2023
$43K
Payment Denial Info 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

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