Skilled Nursing

KEYSTONE POST-ACUTE

3672 NORTH FIRST STREET, FRESNO, CA 93726

65beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.4h

Hrs/resident · weekday

Expected: 3.7h

3.3h

Hrs/resident · weekend

vs 3.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
50%
LPNs
CNAs
49%

Health Inspection Deficiencies · Last 3 Years

36 standard deficiencies in the last 3 years

View all
0627Severity DFeb 5, 2026

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0919Severity DMay 30, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

0880Severity DMay 30, 2025

Provide and implement an infection prevention and control program.

0835Severity DMay 30, 2025

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0812Severity FMay 30, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EMay 30, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0760Severity EMay 30, 2025

Ensure that residents are free from significant medication errors.

0755Severity EMay 30, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0658Severity DMay 30, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DMay 30, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity DMay 30, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0551Severity DMay 30, 2025

Give the resident's representative the ability to exercise the resident's rights.

0550Severity DMay 30, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0689Severity DMar 13, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0842Severity DOct 3, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0656Severity DOct 3, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity EAug 21, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0812Severity FJun 13, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0940Severity EApr 26, 2024

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0924Severity DApr 26, 2024

Put firmly secured handrails on each side of hallways.

0908Severity DApr 26, 2024

Keep all essential equipment working safely.

0883Severity DApr 26, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EApr 26, 2024

Provide and implement an infection prevention and control program.

0842Severity EApr 26, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0812Severity FApr 26, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0758Severity FApr 26, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0727Severity FApr 26, 2024

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0726Severity EApr 26, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0700Severity FApr 26, 2024

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0692Severity DApr 26, 2024

Provide enough food/fluids to maintain a resident's health.

0658Severity EApr 26, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity EApr 26, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity EApr 26, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0552Severity EApr 26, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

0689Severity GNov 15, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Severity DOct 17, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FRESNO NURSING AND REHAB CENTER LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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