The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
KEYSTONE POST-ACUTE
FRESNO, CA · Medicare-certified · 65 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
KEYSTONE POST-ACUTE has a 3 out of 5 overall rating, with 3-star health inspection and quality measures but a lower 2-star staffing rating. Reported nurse staffing is 3.93 hours per resident per day, slightly below the federal benchmark of 4.1, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9263 hrs/resident/day
Quality measures
Last inspection: July 17, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9263.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 1.22
- Nurse aides
- 2.47
- Weekend nursing
- 3.51
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.9%3.2%Improving
Residents with a fall causing major injury
1.9%0%Improving
Residents with pressure ulcers (bedsores)
2.8%3.1%No change
Residents with a urinary tract infection
3.8%0%Improving
Residents who lost too much weight
2.1%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%4.8%Improving
Residents whose ability to walk got worse
—10.2%—
Long-stay residents on antianxiety or sleep medication
14.9%6.8%Improving
Short-stay residents newly given an antipsychotic
2.3%4%Worsening
Residents with a long-term catheter
0%1.3%Worsening
Residents with new or worsening incontinence
2%8.2%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.5%—
Short-stay residents given the pneumonia vaccine
86.8%97.8%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: F
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $42,764 in total fines · 1 payment denial.
- 13 days
Medicare/Medicaid payment denial
Nov 15, 2023
- $42,764
Federal fine
Nov 15, 2023
Operator & ownership
Recent ownership change · Jun 1, 2019
Now operated by Fresno Nursing Center, previously Dycora Transitional Health Community Care.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EDURO HEALTHCARE · 34 homes · 2.5 stars avg
- Occupancy
- 60.7 residents on an average day (93% of 65 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.