Keystone Post-Acute
Nursing home in Fresno, California, CMS certification number 056266
3672 North First Street, Fresno, CA 93726 · Fresno County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 65
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 17, 2026
- Deficiencies at that inspection
- 11
- Fines in 3 years
- $42,764 (1)
Does Keystone Post-Acute take Medicare and Medicaid?
Yes to both. Keystone Post-Acute is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Keystone Post-Acute reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.69
- Registered nurse hours
- 0.19
- Licensed practical nurse hours
- 1.11
- Nurse aide hours
- 2.39
- Weekend total hours
- 3.47
- Nursing staff turnover
- 57%
- Registered nurse turnover
- 50%
Health inspections and complaints
Inspectors last made a standard visit on July 17, 2026 and cited 11 deficiencies, plus 2 from complaint visits.
The visit before, on May 30, 2025, found 12.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Keystone Post-Acute 1 time in the past 3 years, for $42,764 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 61.6 residents live here, about 95% of its 65 certified beds.
- Certified beds
- 65
- Average residents per day
- 61.6
- Certified since
- February 25, 1971
- Resident or family council
- Both
Who owns Keystone Post-Acute
- Legal business name
- Fresno Nursing and Rehab Center LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 34 homes nationally under Eduro Healthcare, 2.4-star chain average
Other nursing homes near Keystone Post-Acute
- Oakwood Gardens Care Center3510 East Shields, Fresno 93726
- Covenant Post Acute3408 East Shields Avenue, Fresno 93726
- Community Subacute and Transitional Care Center3003 N Mariposa, Fresno 93703
- The Terraces at San Joaquin Gardens Village5551 N. Fresno St, Fresno 93710
- North Point Healthcare & Wellness Centre LP668 E. Bullard, Fresno 93710
See also all nursing homes in Fresno.
Who inspects nursing homes in California
California's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in California, the 19 in Fresno, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Keystone Post-Acute, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Keystone Post-Acute
What is the CMS star rating of Keystone Post-Acute?
2 out of 5 stars overall.
Does Keystone Post-Acute accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Keystone Post-Acute?
11 cited at the last standard visit.
Who owns Keystone Post-Acute?
Fresno Nursing and Rehab Center LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.