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πŸ₯ Keystone Post-acute in Fresno, CA


βœ… Facility Quality Snapshot

Compare The Nursing Home Site's proprietary rating against official government data.

πŸ… Trusted Care Index Rating

⭐⭐

Score: 54.40 / 100

How We Calculate the TCI, Get your badge

⭐ CMS Overall Rating

1/5

The Federal Government's official score.

See Full Breakdown

πŸ›οΈ Capacity & Size

Size: Medium Sized

Total Beds: 65

Availability: Limited


Nursing Home Activities Image 2

Keystone Post-acute is a Medium Sized nursing home facility in Fresno, California (Fresno county).

The Nursing Home Site profile for Keystone Post-acute includes: Visiting / Business Hours, Ratings, Activities, Comparisons, Rehab Ratings, Directions, Surveys, and CMS Reviews.

They have 65 beds and a daily average of 62.6 residents. Keystone Post-acute participates in Medicare and Medicaid and are classified as a For profit - Corporation ownership. They offer residential councils. They are not located inside a hospital. They do not belong to a continuing care community.



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Quick Jump Links

⭐ Resident Ratings πŸ“š Facility Types (SNF, ALF) πŸ“ Map & Contact πŸ‘¨β€βš•οΈ Staffing CMS Star Ratings βš–οΈ Comparison


πŸ•°οΈ Visiting and Business Hours

Call Ahead: We recommend calling (559) 227-5383 to confirm current visitation protocols, especially concerning COVID-19.

Mon: 24 Hours
Tue: 24 Hours
Wed: 24 Hours
Thu: 24 Hours
Fri: 24 Hours
Sat: 24 Hours
Sun: 24 Hours

🀝 Quickly Compare Local Facilities

Compare Keystone Post-acute side-by-side with other Skilled Nursing Facilities in Fresno, CA.


Inspection Magnifying Glass Icon Resident, Visitor, CMS Ratings
How would you rate your overall experience with:

Keystone Post-acute?

Select a star to leave your infrormed review and rating

CMS Logo Overall Rating: 1/5 (Full Ratings Below)



Additional Pages about Keystone Post-acute:
Inspections Penalties Directions

πŸ”Ž View State Inspection & Licensing Data

Access official inspection reports for California or select another state's health data below:

πŸ‘€ Keystone Post-acute Profile Overview

General Contact Information

Nursing Home: Keystone Post-acute

Business Name: Fresno Nursing And Rehab Center Llc

CMS ID: 056266

Street Address: 3672 North First Street

City/State/Zip: Fresno, California 93726

Phone #: (559) 227-5383

Regulatory & Operational Status

Sprinklers: Yes

Participation: Medicare and Medicaid

Ownership: For profit - Corporation

In a Hospital: No

Councils: Residential Councils

Special Focus:

Continuing Care: No

✨ Additional Care Home Services & Info

Keystone Post-acute (previously: Dycora Transitional Health - Community Care) began its Medicare and Medicaid participation on Feb 25, 1971.

Specialized Care and Accommodation

Services Provided by Keystone Post-acute include:

πŸ”¬ Clinical Labs, 🦷 Dental Care, 🍽️ Dietary, 🧹 Housekeeping, 🩺 Nursing, πŸ–οΈ Occupational Therapy, πŸ’Š Pharmacy, βš•οΈ Physician, 🦢 Podiatry, 🚢 Physical Therapy, πŸ’¬ Speech Pathology, 🎨 Therapeutic Activities, 🀝 Therapeutic Social Services, 🎨 Therapeutic Qualified Activities.


Ownership Changes: 2
Last Ownership Change: 07-26-2017
Medicaid ID: 1215989769
Financial Year End: 12-31
Medicare Administrative Contractor (MAC): Noridian (CA)
CMS Regional Office: San Francisco
Area: Urban
Dually Certified Beds: 65
Multi-Facility Name: GGNSC FRESNO LP DYCORA TRANSITIONAL

General Information Icon πŸ‘¨β€βš•οΈ Staffing & Turnover

πŸ”„ Staff Turnover Rates

Annual rates of personnel leaving the facility, reported as a percentage:

Total Nurse Turnover
100.%
Registered Nurse (RN) Turnover
100.%
Admin Staff Turnover
2

Keystone Post-acute provides (per day, per resident) an average of:

Registered Nurse
29 minutes
LPN / LVN
64 minutes
CNA
149 minutes
Physical Therapist (PT)
8 minutes

Weekend Staffing

Total RN Weekend Hours:
N/A hours
Total Weekend Nursing:
N/A hours

Total Licensed Nursing Hours (Registered Nurses + Licensed Practical Nurses + Licensed Vocational Nurses) averages 1.55 hours per day per resident (the national average is 1.4 hours).


Additional Staffing (FTEs) - FTE stand for full-time employee (40+ hours per week)

🎨 Activities
0.54
🏒 Administration
3.47
🩺 CNAs
33.82
🦷 Dentists
0.06
🍎 Dietitians
0.23
🍽️ Food Service
7.44
🧹 Housekeeping
5.02
πŸ’‰ LPN / LVN
6.2
βš•οΈ Medical Director
0.06
πŸ“‹ Nurse Admin
1.01
πŸ‘‘ Nursing Director
1.14
πŸ–οΈ Occ. Therapist
0.66
🀝 OT Assistant
0.64
βš™οΈ Other Staff
1.07
β„ž Pharmacist
0.06
🚢 Physical Therapist
0.14
🦢 Podiatrist
0.06
πŸ‹οΈ PT Aide
0.39
πŸƒ PT Assistant
0.5
πŸŽ‰ Qualified Activities
1.1
πŸ‘©β€βš•οΈ RNs
6.77
πŸ«‚ Social Services
1.07
Review Icon Prices and Length of Stay

Average Daily Cost Overview

The average daily amount billed by Keystone Post-acute is:

$375.07

Compare to Average Daily Charges:

California Average:

$484.87

Financial and Operational Snapshot

Occupancy Rate

80.9%

Net Income from Services

$-1,446,988

Avg. Length of Stay (SNF)

240 Days

Total Reported Assets

$5,544,688

Total Annual Discharges

80

Total SNF Days

19,203

⚠️ Important Financial Note: The pricing shown is the average amount billed to Medicare (when available). Medicare, Coinsurance, and other insurances can typically help cover much of this total.

It is worth mentioning that Medicare pays only for services it deems 'medically necessary' skilled nursing care. You can learn more about Medicare coverage on the official Medicare site.


πŸ’‘ Understanding This Facility's Charges

The monthly charge of ($375.07 per day) is generally within the normal expected range for a Skilled Nursing Facility (SNF) due to the intensity of care provided. Here's what that charge covers:

  • Comprehensive Services: The charge covers more than just room and board; it includes 24/7 skilled nursing, medications, supplies, and intensive therapies (PT, OT, ST).
  • Standard Industry Rate: Gross daily rates typically range between $350 and $1,000+ across the U.S.

Your Out-of-Pocket Cost (Not the Same as the amount Charged):

  • For qualifying Medicare patients (Days 1–20), the cost is $0.
  • For long-term care, costs are paid by Medicaid, supplemental insurance, or private funds, which averages $8,000–$12,000 per month nationwide.

Get Exact Pricing

Each person and case is unique. For exact pricing and to discuss all options, please contact Keystone Post-acute directly.

Contact Keystone Post-acute Now

β“˜ Understanding These Financial Reports

The large negative values for Net Income and Assets reflect common industry financial practices, particularly those involving:

  • Net Income (Loss): The facility reports a loss because operational costs and high management fees are paid to affiliated (related-party) companies, which often legally shifts profits to reduce taxes. This is not uncommon in the industry.

Crucially: These financial reports are generally not an indicator of imminent failure or poor service quality. For actual stability and care quality, families should primarily rely on the Occupancy Rate, TCI Index Score, and the CMS Star Ratings.

Contact Info Icon Phone, Directions, and Map

They are located at the following address: 3672 North First Street in Fresno California 93726.
Looking for directions or wish to see the surrounding area? Follow this link: Maps and Directions.
They can be reached by phone at (559) 227-5383.



Quality of care, CMS Ratings, Services, Staffing, and Top-rated Facilities can be viewed below.

Click for Directions including Mobile Contact Info Icon CMS Quality Reporting This section offers a snapshot of key quality measures for skilled nursing facilities, highlighting care effectiveness, readmission rates, and resident well-being to help you make informed decisions about nursing care.

πŸ“ˆ Raw Readmission Rate: The simple count of patients who went back to the hospital unnecessarily.

Observed Score
13.64
Status Indicator
Average

πŸ“ˆ Adjusted Readmission Rate: The hospital return rate, adjusted for patient health risks.

Observed Score
11.28
Status Indicator
Average

πŸ“ˆ Raw Discharged Home Rate: The simple percentage of patients who successfully return home.

Observed Score
44.62%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Adjusted Discharged Home Rate: The percentage of patients who go home, adjusted for health complexity.

Observed Score
51.34%
Status Indicator
Average

πŸ“ˆ Cost Efficiency: How much Medicare spends on a patient’s care compared to the national average (lower is better).

Observed Score
1.20
Status Indicator
Average

πŸ“ˆ Medication Safety: How often the facility checks and follows up on a patient's medication list.

Observed Score
94.40%
Status Indicator
High Rate (Good)

πŸ“ˆ Major Falls: How often patients fall and suffer a serious injury (like a broken bone).

Observed Score
7.50%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Bed Sore Prevention: How often patients develop new bed sores or have existing ones worsen.

Observed Score
0.00%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Infections: The rate at which patients get a serious infection requiring hospitalization.

Observed Score
8.75%
Status Indicator
Average

πŸ“ˆ Staff Flu Shot Rate: The percentage of staff members who receive their annual flu vaccination.

Observed Score
38.70%
Status Indicator
Low Rate (still monitor)
Resident details and Quality of Care

πŸ“‰ Percentage of short-stay residents who were rehospitalized after a nursing home admission

The rate of short-stay patients sent back to the hospital unnecessarily within 30 days of leaving this facility. Lower is better.

Observed Score
14.52
Expected Score
25.35
Comparison
Better ⬆️

πŸ“‰ Percentage of short-stay residents who had an outpatient emergency department visit

The rate of short-stay patients requiring an emergency room visit within 30 days. Lower is better.

Observed Score
12.90
Expected Score
12.11
Comparison
Worse ⬇️

πŸ“‰ Number of hospitalizations per 1000 long-stay resident days

The frequency of long-term residents requiring hospitalization. Lower is better.

Observed Score
1.60
Expected Score
1.44
Comparison
Worse ⬇️

πŸ“‰ Number of outpatient emergency department visits per 1000 long-stay resident days

The frequency of long-term residents requiring a visit to the emergency room. Lower is better.

Observed Score
0.80
Expected Score
2.15
Comparison
Better ⬆️
Ratings Icon Medicare and Medicaid Ratings

The Centers for Medicare & Medicaid Services (CMS) does their best to provide a fair assessment of every Nursing Home, but please note these ratings are a snapshot in time.

Star ratings are often best used for basic comparisons and when deciding which facilities to visit. However, nothing beats actually visiting the nursing home yourself when possible.

Overall Rating: 1 stars 1 star overall rating

Health Inspection Rating: 1 stars 1 star health inspection rating

Staff Rating: 1 stars 1 star nurse staffing rating

Quality Measures Rating: 4 stars 4 star quality measures rating

Long Term Stay Rating: 4 stars 4 star rn staff rating

Short Term Stay Rating: 3 stars 3 star rn staff rating


Compare these ratings with one of the highest rated nursing homes in Fresno:
Veterans Home Of California - Fresno


Ratings are out of 5 with 5 being the best and 1 being the worst.

See How the Overall Rating is CalculatedView California's Top Lists View All Fresno Nursing Homes Review Icon Ratings and SNF Comparisons

Compare Fresno California Facilities

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There are 9 Cities within 30 miles of 93726 Fresno, CA with Skilled Nursing Facilities

Clovis Dinuba Fowler Fresno Kingsburg Madera Reedley Sanger Selma

Search Nursing Homes and SNFs by State

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Learn more about Keystone Post-acute

Inspection Results Penalty Enforcements Maps and Directions


Still looking for the right senior care match? Please consider trying our custom search box below. Search by city, zip code, services, required care (alzheimer's, hospice, dialysis, etc) or any other key term you are interested in. Thanks for stopping by!

You may also be interested in seeing how their inspections and penalties (fines and payment denials) match up with others at the following links:

Inspection Results Penalty Enforcements

Question Mark Icon Ownership, Operational, and Management for Keystone Post-acute
OrganizationRole
Fresno Nursing And Rehab Center Llc5% Or Greater Direct Ownership Interest
Eduro Healthcare Llc5% Or Greater Indirect Ownership Interest
Bewsey, Michael5% Or Greater Indirect Ownership Interest
Fresno Nursing And Rehab Center LlcOperational/managerial Control
Bewsey, MichaelCorporate Officer
Monroe, DustinCorporate Officer
Carter, BraedenW-2 Managing Employee

πŸ“‹ Regulatory & Certification Details

Key dates and regulatory statuses indicating the facility's standing with Medicare and Medicaid.

Initial Certification Date
Feb 25, 1971
Accreditation Start Date
N/A
Medicare Eligibility
βœ… Yes
Psychiatric Unit on Site?
N/A

Hospital Icon Hospitals near Keystone Post-acute
Community Regional Medical Center
2823 Fresno Street
Fresno, CA 93715
(559) 459-6000
Acute Care Hospitals
Saint Agnes Medical Center
1303 E Herndon Ave
Fresno, CA 93710
(559) 450-3000
Acute Care Hospitals
Fresno Va Medical Center (va Central California He
2615 E. Clinton Avenue
Fresno , CA 93703
(559) 228-5338
ACUTE CARE - VETERANS ADMINIST
Fresno Surgical Hospital
6125 North Fresno St
Fresno, CA 93710
(559) 431-8000
Acute Care Hospitals
Area Map Staffing Medicare Ratings Comparison


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