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Keystone Post Acute
Nursing Home & Skilled Nursing · Fresno, CA
Front exterior of Keystone Post Acute facility Lush green outdoor space with trees and grassy area Staff members posing together in an outdoor area Staff members with event prizes at a community activity

Keystone Post Acute

Nursing Home & Skilled Nursing · Fresno, CA
3672 N First St, Fresno, CA 93726 View map
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Overview of Keystone Post Acute

Keystone Post Acute is a nursing home in Fresno, California, offering skilled nursing for people recovering from surgery and those who need high-acuity nursing care. Licensed nursing is available around the clock. The community may be a good fit for a resident who needs rehabilitation or ongoing clinical care after a hospital stay.

The home has 65 beds and offers semi-private rooms, so residents share their room with another person. Rehabilitation services support recovery, while joint replacement care, wound care including negative pressure wound therapy, IV therapy and antibiotic management, and stroke care address specific clinical needs. Pain management, diabetes care, cardiac care, catheter care, and ostomy care are also available.

Care plans are individualized to address a resident’s needs during the stay and as care changes. Transition support helps with those changes over time. Resident and family care meetings give families a structured setting to discuss the resident’s care plan, while nutrition and hydration programs focus on these daily health needs.

Facility Direct Line (559) 227-5383
By The Numbers

Community insights.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #156 / 344Walk Score — State benchmarked This nursing home is ranked 156th out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
66 / 100

About This Community

License Details

License Number#040000104

Therapy & Rehabilitation

9 services
Post-Surgery Rehabilitation
Joint Replacement/Fracture Care Rehabilitation
Orthopedic Rehabilitation
Balance and Vestibular Therapy
Neurologic Rehab for Stroke
Physical Therapy
Occupational Therapy
Speech Therapy
  • Neurologic rehab for stroke, multiple sclerosis, and parkinson's

Staffing & Medical

11 services
Pain Management
Ostomy CareCare for a stoma and the attached pouch after surgery, such as for a colostomy or ileostomy. Proper care helps prevent skin problems and infection.
IV Therapy/Antibiotic Management
Diabetes Care
Cardiac Care
Stroke CareMedical support for people recovering from or living with the effects of a stroke. It can include rehabilitation, medication management, and help with daily activities.
Wound Care/Wound Vac Therapy
Cardiac Heart Failure Program
Fall Prevention Program
Joint Replacement/Fracture Care
Dietitian

Memory & Specialized Care

1 service
Parkinson’s

Additional Services

4 services
Individualized Care Plans and Transition Support
Resident & Family Meetings
HousekeepingListed as: Daily housekeeping and laundry service
Laundry & Linen

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Wi-Fi
Emergency Call System

Room Accommodations

Building TypeSingle-story
Room Types
Semi-Private / Shared Room

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Address 3.3 miles from city center Info Estimated distance in miles from Fresno's city center to Keystone Post Acute's address, calculated via Google Maps.

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Compare Nursing Homes around Fresno

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-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 60.9% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
North Pointe Care Center ★ ★ ★ ★ ★
NH
MC
RC
SNF
Fresno
99
Facility 99
CA AVG 148
Rank #159 / 321
92.3%
Facility 92.3%
CA AVG 83%
Rank #97 / 282
+11%
3.49
Facility 3.49
CA AVG 4.31
Rank #247 / 280
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +19%-19%
$0
Facility $0
CA AVG $60.5k
Rank #1 / 285
20
Facility 20
CA AVG 49.9
Rank #32 / 283
5.0
Facility 5.0
CA AVG 4.7
Rank #189 / 283
-91-
80
Facility 80
CA AVG 60
Rank #72 / 344
North Point Wellness Gp LLC$13.8MFiscal year ending 04/2025$8.0MFiscal year ending 04/202557.9%Fiscal year ending 04/2025555179
The Terraces at San Joaquin Gardens a CCRC ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Fresno
652
Facility 652
CA AVG 148
Rank #8 / 321
57.2%
Facility 57.2%
CA AVG 83%
Rank #254 / 282
-31%
5.44
Facility 5.44
CA AVG 4.31
Rank #20 / 280
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +27%+26%
$0
Facility $0
CA AVG $60.5k
Rank #1 / 285
31
Facility 31
CA AVG 49.9
Rank #98 / 283
5.2
Facility 5.2
CA AVG 4.7
Rank #201 / 283
1373A+
57
Facility 57
CA AVG 60
Rank #211 / 344
Humangood & Humangood Norcal & Humangood Fresno
$37.7MFiscal year ending 12/2024
Facility $37.7MFiscal year ending 12/2024
CA AVG $15.9M
Rank #11 / 252
$14.4MFiscal year ending 12/2024
Facility $14.4MFiscal year ending 12/2024
CA AVG $9.0M
Rank #32 / 252
38.3%Fiscal year ending 12/2024
Facility 38.3%Fiscal year ending 12/2024
CA AVG 60.9%
Rank #242 / 252
055846
Evergreen Life Care Homes ★ ★ ★ ☆ ☆
NH
HOS
MC
RC
SNF
Fresno (Roosevelt)
49
Facility 49
CA AVG 148
Rank #282 / 321
94.5%
Facility 94.5%
CA AVG 83%
Rank #65 / 282
+14%
3.42
Facility 3.42
CA AVG 4.31
Rank #257 / 280
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -27%-21%
$0
Facility $0
CA AVG $60.5k
Rank #1 / 285
35
Facility 35
CA AVG 49.9
Rank #114 / 283
2.7
Facility 2.7
CA AVG 4.7
Rank #32 / 283
246A+
37
Facility 37
CA AVG 60
Rank #280 / 344
Evergreen Care Center Holdings LLC
$7.2MFiscal year ending 12/2024
Facility $7.2MFiscal year ending 12/2024
CA AVG $15.9M
Rank #219 / 252
$3.5MFiscal year ending 12/2024
Facility $3.5MFiscal year ending 12/2024
CA AVG $9.0M
Rank #249 / 252
48.7%Fiscal year ending 12/2024
Facility 48.7%Fiscal year ending 12/2024
CA AVG 60.9%
Rank #250 / 252
555920
Horizon Health & Subacute Center ★ ★ ☆ ☆ ☆
NH
SNF
Fresno
180
Facility 180
CA AVG 148
Rank #65 / 321
85.8%
Facility 85.8%
CA AVG 83%
Rank #170 / 282
+3%
4.45
Facility 4.45
CA AVG 4.31
Rank #85 / 280
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -29%+3%
$22.9k
Facility $22.9k
CA AVG $60.5k
Rank #214 / 285
45
Facility 45
CA AVG 49.9
Rank #162 / 283
3.2
Facility 3.2
CA AVG 4.7
Rank #62 / 283
2155-
58
Facility 58
CA AVG 60
Rank #208 / 344
Chad Galley$24.6MFiscal year ending 12/2024$16.0MFiscal year ending 12/202465.1%Fiscal year ending 12/2024055199

Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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Financial Assistance for
Nursing Home in California

Keystone Post Acute is located in Fresno, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Frequently Asked Questions about Keystone Post Acute

What neighborhood is Keystone Post Acute in?

Keystone Post Acute is in the McLane neighborhood of Fresno.

Is Keystone Post Acute in a walkable area?

Keystone Post Acute has a walk score of 66. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Keystone Post Acute?

Keystone Post Acute's license number is #040000104.

Are pets allowed at Keystone Post Acute?

No, Keystone Post Acute has a no-pet policy.

Are there photos of Keystone Post Acute?

Yes — there are 4 photos of Keystone Post Acute in the photo gallery on this page.

What levels of care does Keystone Post Acute provide?

Keystone Post Acute offers Nursing Home & Skilled Nursing.

What is the address of Keystone Post Acute?

Keystone Post Acute is located at 3672 N First St, Fresno, CA 93726.

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