Overview
Keystone Post-Acute has a Medicare overall rating of 2 out of 5, below the California average of 3.2. It ranks 15th of 18 nursing homes in Fresno. Its strongest area is quality of care (4 of 5), and its weakest is staffing (1 of 5).
Residents receive about 3.7 hours of nursing care per day, fewer than at 96% of nursing homes in California (the state average is 4.5 hours). Of that, 0.2 hours come from registered nurses.
Its most recent standard inspection, on July 17, 2026, found 11 health deficiencies, fewer than the California average of 15.5. 2 of them came from complaint investigations. Medicare records 1 fine totaling $42,764 in the past three years.
Keystone Post-Acute is a for-profit facility with 65 certified beds, caring for about 62 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1971.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 84%
Top 73%
Top 72%
Family reviews
No reviews yet. If your family has experience with Keystone Post-Acute, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- July 17, 2026
- Health deficiencies cited
- 11
- Complaint-related deficiencies
- 2
- Fines in the last 3 years
- 1 totaling $42,764
- Payment denials
- 1
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.69 hrs
- Registered nurses (RN)0.19 hrs
- Licensed practical nurses (LPN)1.11 hrs
- Nurse aides2.39 hrs
- Physical therapists0.08 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 65
- Average residents per day
- 62
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- February 25, 1971
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes