Home›Browse›California›Fresno›Keystone Post-acute

Nursing homeFAID #1115

Keystone Post-acute

3672 NORTH FIRST STREET, FRESNO, CA, 93726

(559) 227-5383

65 licensed beds

CMS rates Keystone Post-acute 2 out of 5 overall. Federal inspectors issued 70 citations across 14 inspections in the last three years, with $42,764 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

3672 North First Street

Fresno, CA 93726

Get directions

Map facilities in this area

All facilities in Fresno

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

056266

Care type

Nursing home

County

Fresno

Facility name

Keystone Post-acute

Street address

3672 NORTH FIRST STREET

City / state / ZIP

Fresno, CA 93726

Phone

(559) 227-5383

About this facility — Keystone Post-acute

Keystone Post-acute is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 65 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Eduro Healthcare, a group of 34 facilities on this site.

Federal inspectors have cited Keystone Post-acute 70 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $42,764 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Eduro Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Eduro Healthcare Llc

Indirect owner — 100% stake — since 2019

Fresno Nursing and Rehab Center Llc

Direct owner · Operational control — 100% stake — since 2019

Bewsey, Michael

Officer — since 2019

Carter, Braeden

Managing employee — since 2024

Monroe, Dustin

Officer — since 2022

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1971-02-25

CMS overall rating

2 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$42,764 total

Last standard inspection

2026-07-17

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$362 per day (≈ $11,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

71% Medicaid · 24% Medicare · 5% private/other

Occupancy

95% (fiscal year 2023)

Vs. state median

30% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-17Health inspection9 citations

F-0584

D · No harm found

Honor 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.

Corrected 2026-08-14

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-08-14

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-08-14

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-08-14

F-0727

F · No harm found

Have 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.

Corrected 2026-08-14

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-08-14

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-08-14

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-08-14

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2026-08-14

2026-05-08Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-30

12 earlier / fire-safety inspections (60 citations)

2026-02-05Health inspectionComplaint-triggered1 citation

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-02-27

2025-05-30Health inspection12 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-26

F-0551

D · No harm found

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-06-26

F-0584

D · No harm found

Honor 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.

Corrected 2025-06-26

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-26

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-26

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-26

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-06-26

F-0761

E · No harm found

Ensure 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.

Corrected 2025-06-26

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-26

F-0835

D · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-06-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-26

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-06-26

2025-03-13Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-02

2024-10-03Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-22

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-22

2024-08-21Health inspectionComplaint-triggered1 citation

F-0584

E · No harm foundFrom a complaint

Honor 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.

Corrected 2024-09-13

2024-06-13Health inspectionComplaint-triggered1 citation

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-05

2024-04-26Health inspection16 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-05-31

F-0584

E · No harm found

Honor 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.

Corrected 2024-05-31

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-31

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-31

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-05-31

F-0700

F · No harm found

Try 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.

Corrected 2024-05-31

F-0726

E · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-31

F-0727

F · No harm found

Have 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.

Corrected 2024-05-31

F-0758

F · No harm found

Implement 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.

Corrected 2024-05-31

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-31

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-05-31

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-05-31

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-05-31

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2024-05-31

F-0924

D · No harm found

Put firmly secured handrails on each side of hallways.

Corrected 2024-05-31

F-0940

E · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-05-31

2023-11-15Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-28

2023-10-17Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-02

2026-07-17Fire-safety inspection10 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-08-12

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-12

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-08-12

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-08-12

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-08-12

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-08-12

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2026-08-12

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-08-12

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2026-08-12

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-08-12

2025-05-30Fire-safety inspection8 citations

E-0015

C · No harm found

Address subsistence needs for staff and patients.

Corrected 2025-06-11

E-0030

C · No harm found

List the names and contact information of those in the facility.

Corrected 2025-06-11

E-0031

C · No harm found

Provide emergency officials' contact information.

Corrected 2025-06-11

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-06-13

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-06-13

K-0918

C · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-13

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-06-13

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-13

2024-04-26Fire-safety inspection6 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-03

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-03

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-05-03

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-05-03

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-03

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-05-03

Federal penalties

2023-11-15Fine$42,764

2023-11-15Medicare payment denial — 13 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056266.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 57% of nursing homes in the state

State median: 65

Federal fines, 3 years

$42,764

More than 83% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.7

Among the lowest of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

57%

Higher than 95% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 12 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	4.1%	10.2%	13.5%	Better than state
Lose too much weight	6.1%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.1%	0.7%	0.7%	Worse than state
With a urinary tract infection	1.0%	1.2%	1.5%	Better than state
Have depressive symptoms	0.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	6.4%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	12.2%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	3.7%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	6.5%	9.8%	18.3%	Better than state
Received an antipsychotic medication	7.6%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.45	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.63	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.3%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	3.1%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	95.7%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	24.2%	22.6%	23.4%	Near state average
Had an outpatient emergency department visit	11.5%	11.1%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0584 4 inspections. Honor 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.
F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.

What its owners also hold

Eduro Healthcare Llc has an ownership stake on file at 10 nursing homes, averaging 2.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Fresno Va Medical Center (va Central California Healthcare System), about 1.0 miles. CMS rating 5 of 5.
Community Regional Medical Center, about 3.0 miles. CMS rating 1 of 5.
Saint Agnes Medical Center, about 3.7 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Oakwood Gardens Care Center, Fresno, about 0.3 miles. CMS rating 4 of 5.
Covenant Post Acute, Fresno, about 0.3 miles. CMS rating 3 of 5.
William's Residential Care for the Elde, Fresno, about 0.6 miles. 5 state visits on record.
Royal Board and Care for Elderly, Fresno, about 0.7 miles. 8 state visits on record.
Community Subacute and Transitional Care Center, Fresno, about 0.7 miles. CMS rating 5 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 70 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered