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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.
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.
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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
That suggests steady demand, but availability may be limited.
Most residents typically stay for a few weeks or months before returning home or moving on.
66% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 60 Residents
Housing Options: Semi-Private Rooms
Building Type: Single-story
Dining Services
Health Programs
Recreational Activities
Housekeeping Services
State average N/A
Last Health inspection on May 2025
State average N/A
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.
0
In line with State average
State average: N/A
4
In line with State average
State average: N/A
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 30, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 30, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 30, 2025
Corrected
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.
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.
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.
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.
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).
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.
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.
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.
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).
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).
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.
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.
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.
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).
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.
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.
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.
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.
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).
4.6 miles from city center
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with State average
State average ratio: 0:0
0% compared with State average
State average: 0 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This role is partially covered by contractors.
Total hours from contractors
913 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
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%
Percent of long-stay residents whose ability to move independently worsened
8.7%
27% better than State average
State average: 12.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
124% worse than State average
State average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.6%
68% better than State average
State average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.4%
14% worse than State average
State average: 1.2%
Percent of long-stay residents who lose too much weight
1.6%
63% better than State average
State average: 4.2%
Percent of long-stay residents who have depressive symptoms
1.1%
84% better than State average
State average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
12.3%
22% worse than State average
State average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with State average
State average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with State average
State average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.1%
19% worse than State average
State average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
48% better than State average
State average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
8% worse than State average
State average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
22% lower than State average
State average: $55K
58% fewer fines than State average
State average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 15, 2023
Last updated: Jan 2026
Historical financial and operational data for Keystone Post Acute based on CMS SNF Cost Reports.
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