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Data / Nursing homes / California / Keystone Post-Acute

Keystone Post-Acute, Fresno, CA: 2 star rating, fined $42,764 across 1 fine and had 1 payment denial

Keystone Post-Acute in Fresno, CA is owned by Fresno Nursing and Rehab Center LLC, is rated 2 of 5 stars by Medicare, and was fined $42,764 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 46 health citations from inspections in that time, the latest survey on July 17, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in California
Address
3672 North First Street, Fresno, CA 93726
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
65
Residents per day
62 on average
Ownership type
For profit, limited liability company
Legal business name
Fresno Nursing and Rehab Center LLC
Chain
Eduro Healthcare, 34 facilities
Fines
$42,764 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
46, of which 1 with actual harm or immediate jeopardy
Latest survey
July 17, 2026
CMS Certification Number
056266
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 15, 2023Fine$42,764Not listeddata.cms.gov
November 15, 2023Payment denialNot listedDecember 15, 202313data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 17, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 17, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
May 8, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2026data.cms.gov
February 5, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2026data.cms.gov
May 30, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
May 30, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
March 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 2, 2025data.cms.gov
October 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 22, 2024data.cms.gov
October 3, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 22, 2024data.cms.gov
August 21, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
June 13, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
April 26, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F924Put firmly secured handrails on each side of hallways.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F758Implement 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F700Try 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
April 26, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
November 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedDecember 28, 2023data.cms.gov
October 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 2, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (1 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fresno Nursing and Rehab Center LLCDirect owner100%June 1, 2019data.cms.gov
Eduro Healthcare LLCIndirect owner100%June 1, 2019data.cms.gov
Fresno Nursing and Rehab Center LLCOperational or managerial controlNot listedJune 1, 2019data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.