Starfile

Starfile / California

KEYSTONE POST-ACUTE

3672 NORTH FIRST STREET, FRESNO, CA 93726 · CCN 056266

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
65
Avg residents/day
59.6
Phone
5592275383

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-05-301315.69.5-2.6 better
22024-04-262017.49.8+2.6 worse
32022-08-051417.19.3-3.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Resident rights3
Nutrition and dietary1
Pharmacy service3
Environmental1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9468.8%
RN staffing (reported)0.3072.7%
Total nurse staffing (adjusted)3.85

Fines & penalties

Total fines
$42,764
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
EDURO HEALTHCARE
Facilities in chain
36
Chain avg overall
2.40 / 5

Inspection citations (47)3 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  2. DF0551Give the resident's representative the ability to exercise the resident's rights.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  3. DF0584Honor 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.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  6. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  7. EF0760Ensure that residents are free from significant medication errors.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  8. EF0761Ensure 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.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  10. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  11. DF0880Provide and implement an infection prevention and control program.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  12. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-30 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-13 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-03 · Health · corrected 2024-10-22

    Potential for more than minimal harm

  15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-03 · Health · corrected 2024-10-22

    Potential for more than minimal harm

  16. EF0584Honor 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.2024-08-21 · Health · corrected 2024-09-13

    Potential for more than minimal harm

  17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-07-05

    Potential for more than minimal harm

  18. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  19. EF0584Honor 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.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  20. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  21. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  22. DF0692Provide enough food/fluids to maintain a resident's health.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  23. FF0700Try 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.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  24. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  25. FF0727Have 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.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  26. FF0758Implement 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.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  28. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  29. EF0880Provide and implement an infection prevention and control program.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  30. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  31. DF0908Keep all essential equipment working safely.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  32. DF0924Put firmly secured handrails on each side of hallways.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  33. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-04-26 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  34. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-15 · Health · corrected 2023-12-28

    Actual harm

  35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-17 · Health · corrected 2023-11-02

    Potential for more than minimal harm

  36. DF0583Keep residents' personal and medical records private and confidential.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  37. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-05 · Health · corrected 2022-08-30

    Actual harm

  38. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  39. EF0679Provide activities to meet all resident's needs.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  40. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-05 · Health · corrected 2022-11-22

    Actual harm

  41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  42. DF0761Ensure 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.2022-08-05 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  43. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  44. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  45. EF0880Provide and implement an infection prevention and control program.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  46. FF0881Implement a program that monitors antibiotic use.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  47. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-08-05 · Health · corrected 2022-08-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FRESNO NURSING AND REHAB CENTER LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-06-01
EDURO HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-06-01
BEWSEY, MICHAELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-06-01
FRESNO NURSING AND REHAB CENTER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-06-01
BEWSEY, MICHAELIndividualCORPORATE OFFICER2019-06-01
MONROE, DUSTINIndividualCORPORATE OFFICER2022-07-19
CARTER, BRAEDENIndividualW-2 MANAGING EMPLOYEE2024-02-01

Other facilities in FRESNO

NameOverallBeds
NORTH POINT HEALTHCARE & WELLNESS CENTRE LP★★★★★99
Community Subacute and Transitional Care Center★★★★★106
MANNING GARDENS CARE CENTER, INC★★★★★59
CALIFORNIA HOME FOR THE AGED★★★★★120
VETERANS HOME OF CALIFORNIA - FRESNO★★★★★120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.