Keystone Post-Acute: Staffing, Turnover, and Inspection Record
Keystone Post-Acute is a 65-bed for-profit nursing home in Fresno, California, part of Eduro Healthcare. In the CMS August 2026 release it reported 2.47 nurse aide hours per resident per day, 7% below the California average of 2.65, and 47.1% nursing staff turnover (California average 36.7%).
Keystone Post-Acute
3672 North First StreetFresno, CA 93726
Fresno County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Keystone Post-Acute, nurse aides logged 2.47 hours per resident per day, 7% below the California average. With about 61 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.47 | 2.65 | 2.32 |
| Licensed practical nurses | 1.22 | 1.20 | 0.86 |
| Registered nurses | 0.23 | 0.67 | 0.69 |
| All nursing staff | 3.93 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.51 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.1% of nursing staff at Keystone Post-Acute left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 42.9%.
Inspections and penalties
State inspectors last completed a standard health inspection on May 30, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (California average 15.7). CMS lists 1 fine totaling $42,764 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 15, 2023 | Fine | $42,764 |
| Nov 15, 2023 | Payment Denial | 13 days from Dec 15, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Keystone Post-Acute holds 2 of 5 overall; the California average is 3.2.
About Keystone Post-Acute
- Ownership: For profit - Limited Liability company
- Chain: Eduro Healthcare, 34 homes
- Legal name: Fresno Nursing and Rehab Center LLC
- Medicare and Medicaid certified since: Feb 25, 1971
- Councils: resident and family councils
- Area: urban
Nursing homes near Keystone Post-Acute
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oakwood Gardens Care Center Fresno | 0.3 | 103 | 2.58 | 4.01 | 51.7% | 5 | None |
| Covenant Post Acute Fresno | 0.3 | 121 | 2.35 | 3.68 | 46.5% | 3 | None |
| Community Subacute and Transitional Care Center Fresno | 0.7 | 106 | 4.45 | 9.19 | 21.7% | 5 | None |
| The Terraces at San Joaquin Gardens Village Fresno | 2.4 | 54 | 2.85 | 5.13 | 30.3% | 5 | None |
| North Point Healthcare & Wellness Centre LP Fresno | 2.7 | 99 | 2.50 | 3.98 | — | 5 | None |
| Healthcare Centre of Fresno Fresno | 3.1 | 155 | 2.49 | 3.81 | — | 2 | $88,049 |
| Orchard Post Acute Fresno | 3.6 | 99 | 2.50 | 3.98 | 48.8% | 3 | None |
| Morning Star Post Acute Clovis | 4.0 | 57 | 2.57 | 3.91 | 47.7% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.