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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-30 | 13 | 15.6 | 9.5 | -2.6 better |
| 2 | 2024-04-26 | 20 | 17.4 | 9.8 | +2.6 worse |
| 3 | 2022-08-05 | 14 | 17.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.94 | 68.8% |
| RN staffing (reported) | 0.30 | 72.7% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0760Ensure that residents are free from significant medication errors.2025-05-30 · Health · corrected 2025-06-26
Potential for more than minimal harm
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-05-30 · Health · corrected 2025-06-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-04-26 · Health · corrected 2024-05-31
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-04-26 · Health · corrected 2024-05-31
Potential for more than minimal harm
- 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
- DF0908Keep all essential equipment working safely.2024-04-26 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0924Put firmly secured handrails on each side of hallways.2024-04-26 · Health · corrected 2024-05-31
Potential for more than minimal harm
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2023-05-25 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2022-08-05 · Health · corrected 2022-08-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2022-08-05 · Health · corrected 2022-08-30
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-08-05 · Health · corrected 2022-08-30
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRESNO NURSING AND REHAB CENTER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-06-01 |
| EDURO HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-06-01 |
| BEWSEY, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-06-01 |
| FRESNO NURSING AND REHAB CENTER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-01 |
| BEWSEY, MICHAEL | Individual | CORPORATE OFFICER | — | 2019-06-01 |
| MONROE, DUSTIN | Individual | CORPORATE OFFICER | — | 2022-07-19 |
| CARTER, BRAEDEN | Individual | W-2 MANAGING EMPLOYEE | — | 2024-02-01 |
Other facilities in FRESNO
| Name | Overall | Beds |
|---|---|---|
| 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.