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    Nursing home · FRESNO, CA

    KEYSTONE POST-ACUTE

    3672 NORTH FIRST STREET, FRESNO, CA 93726

    CMS certification number: 056266 · Updated October 1, 2026

    Request care assistance5592275383Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    65

    Residents / day

    61.6

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Fresno
    Certified beds
    65
    Average residents per day
    61.6
    First certified
    February 25, 1971

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    3 / 5
    Staffing
    1 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Fresno, California. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    3.24
    n=29
    State peers
    3.21

    Nurse hours / resident / day

    This home
    3.69
    County peers
    4.20
    n=29
    State peers
    4.54
    n=1138

    Weekend nurse hours / resident / day

    This home
    3.47
    County peers
    3.79
    n=29
    State peers
    4.10
    n=1138

    Nursing staff turnover (%)

    This home
    57.00
    County peers
    41.53
    n=24
    State peers
    36.54
    n=1011

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 6.0% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 57.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    24
    Health citations
    46
    Resident measures
    17
    Ownership records
    6
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.69339
    Reported RN Staffing Hours per Resident per Day
    0.18712
    Reported LPN Staffing Hours per Resident per Day
    1.11361
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.39267
    Total number of nurse staff hours per resident per day on the weekend
    3.47243
    Registered Nurse hours per resident per day on the weekend
    0.17616
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.08138
    Total nursing staff turnover
    57.0
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    EDURO HEALTHCARE
    Number of Facilities in Chain
    34
    Chain Average Overall 5-star Rating
    2.4
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Both
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    CA
    Urban
    Y
    Chain ID
    193
    Latitude
    36.7841
    Location
    3672 NORTH FIRST STREET,FRESNO,CA,93726
    ZIP Code
    93726
    City/Town
    FRESNO
    Longitude
    -119.77
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    EDURO HEALTHCARE
    County/Parish
    Fresno
    Provider Name
    KEYSTONE POST-ACUTE
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    3672 NORTH FIRST STREET
    Telephone Number
    5592275383
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    FRESNO NURSING AND REHAB CENTER LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    2
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.49965
    Chain Average QM Rating
    3.1
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    65
    Provider SSA County Code
    090
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.06339
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    57.0
    Chain Average Staffing Rating
    2.1
    Number of Facilities in Chain
    34
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    056266
    Administrator turnover footnote
    26
    Total Amount of Fines in Dollars
    42764.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    60
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    78.000
    With a Resident and Family Council
    Both
    Average Number of Residents per Day
    61.6
    Chain Average Overall 5-star Rating
    2.4
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    132
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.5
    Rating Cycle 1 Health Deficiency Score
    60
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    132
    Rating Cycle 1 Standard Survey Health Date
    2026-07-17
    Rating Cycle 2 Standard Health Survey Date
    2025-05-30
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.17458
    Case-Mix RN Staffing Hours per Resident per Day
    0.73548
    Reported RN Staffing Hours per Resident per Day
    0.18712
    Adjusted LPN Staffing Hours per Resident per Day
    1.03901
    Case-Mix LPN Staffing Hours per Resident per Day
    0.91650
    Reported LPN Staffing Hours per Resident per Day
    1.11361
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    19
    Rating Cycle 1 Number of Standard Health Deficiencies
    9
    Rating Cycle 2 Number of Standard Health Deficiencies
    12
    Reported Licensed Staffing Hours per Resident per Day
    1.30073
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    2
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.23237
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.49616
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.39267
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.44596
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.14815
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    7
    Reported Total Nurse Staffing Hours per Resident per Day
    3.69339
    Registered Nurse hours per resident per day on the weekend
    0.17616
    Date First Approved to Provide Medicare and Medicaid Services
    1971-02-25
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.08138
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.23980
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.65067
    Total number of nurse staff hours per resident per day on the weekend
    3.47243

    COMMUNITY EXPERIENCE

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026