Keystone Post-Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 57 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (69%)
- High RN turnover (73%)
Below average in CA · Critically understaffed (RN) · $42,764 in fines
What this means for your family
This facility is an excellent choice for families prioritizing high-quality rehabilitation and compassionate nursing care. However, you should proactively inquire about the frequency of deep cleaning and verify the process for medical record requests to avoid the billing frustrations reported by other families.
Google Reviews
Google Reviews
57 reviews on Google“Families can expect highly compassionate nursing and rehabilitation staff who are frequently praised for their kindness and dedication to patient recovery. While the facility's interior and clinical care are strong points, some reviewers noted that the building is aging and requires more frequent deep cleaning and updates.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective and motivating rehabilitation/therapy team
- Welcoming and professional administration
- Clean and well-maintained interior
Concerns
- Aging facility infrastructure and need for updates (mentioned by 2 reviewers)
- Inconsistent cleanliness/deep cleaning needs (mentioned by 2 reviewers)
- Issues with administrative communication and billing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 60 analyzed
How They Respond to Reviews
The owner provides highly personalized responses that frequently use the reviewer's name and acknowledge specific staff members or events mentioned. They demonstrate empathy in sensitive situations and proactively offer direct contact information to resolve grievances.
Questions for Your Tour
- 1It is wonderful to see how much the administration engages with the community through reviews; how do you ensure families are kept updated on any changes in care or billing?
- 2The therapy team has received such great feedback for being motivating; can you tell me more about how the rehab process works for new residents?
- 3I noticed the facility is very well-maintained; what is your current schedule for deep cleaning and facility updates to keep everything looking fresh?
- 4With the nursing staff being noted for their compassion, how do you manage medical emergencies or sudden changes in health during the night shifts?
- 5What kind of daily activities or social events do you have planned to keep the residents engaged and active?
- 6Since the facility has a smaller, intimate capacity of 65, how does that help you provide personalized attention to each resident's specific needs?
Personalized based on this facility's data
Key Review Excerpts
“The staff has all been amazing since my mom has been there. Everyone is kind and attentive. Even before my mom was placed there my Husband and I went to check the place out.”
“The time I spent their was wonderful 😊😊 to staff Aazingly kind,compassionate and patience 🙏 They all made me me feel at home everyday. I could not have recovered without them.”
“The facility’s exterior showed its age. However, the interior was very clean and well maintained. Everyone of the staff encountered was very professional and caring.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant recurring problems with families reporting eight separate complaints over safety hazards and cleanliness issues. The most persistent deficiencies involve safety hazards and accident prevention, care planning, and medication management, with problems recurring across multiple surveys from 2022 through 2025. While all violations are marked as corrected, the pattern of repeated issues in core care areas suggests ongoing operational challenges that families should carefully consider.
Feb 5, 2026Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
May 30, 2025Routine20
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 13, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 3, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 21, 2024Complaint1
Resident Rights Deficiencies
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.
Jun 13, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal Penalties
Fine
Nov 15, 2023
$42,764
Payment Denial
Nov 15, 2023
13-day denial
Ownership & Operations
Who Operates This Facility
Keystone Post-Acute
for profit
Chain Affiliation
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.4/5 · Rank 19 of 36
Ownership & Management
Owners
Fresno Nursing and Rehab Center LLC
Owner · Organization
Eduro Healthcare LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
57 reviews from families & visitors
Official Website
Visit keystonepostacute.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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