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
2 of 5 overall
2 of 5 stars overall. Keystone Post-Acute in Fresno has 2-star health inspection and staffing ratings, 3-star quality measures, reported nurse staffing below the federal benchmark (3.85 vs 4.1 hours/resident/day), no fines in the last 24 months, and recent inspection citations related to accidents, care planning, and food handling.
Facility ratings
Health inspections
Staffing
3.8464 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8464.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.40
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9%Improving
Residents with a fall causing major injury
1%Improving
Residents with pressure ulcers (bedsores)
3.5%Worsening
Residents with a urinary tract infection
2.4%Worsening
Residents who lost too much weight
3.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6%Steady
Residents whose ability to walk got worse
9.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.3%Improving
Short-stay residents newly given an antipsychotic
2.4%Worsening
Residents with a long-term catheter
0.7%Worsening
Residents with new or worsening incontinence
6.7%Improving
Residents with depressive symptoms
0.5%Improving
Long-stay residents given the seasonal flu vaccine
95.2%Steady
Long-stay residents given the pneumonia vaccine
99.5%Improving
Short-stay residents given the seasonal flu vaccine
85.5%Steady
Short-stay residents given the pneumonia vaccine
87.7%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
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 have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — 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 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EDURO HEALTHCARE · 35 homes · 2.3 stars avg
- Occupancy
- 60.9 residents on an average day (94% 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.