Keystone Post Acute

    3672 N First St, Fresno, CA 93726
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Attentive, professional staff; excellent care

    I was very pleased with the kind, professional, and attentive staff - especially Ms. Reyes and the therapy team - who provided effective rehab, excellent nursing, clear communication, and a warm, safe, activity-filled environment; I'd recommend them.

    Current/former resident
    Jul 2026

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    Reviews

    4.33·(55)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.1
    • Meals

      3.0
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Compassionate, attentive nursing staff
    • Engaged CNAs and floor caregivers
    • Skilled physical and occupational therapy
    • Successful short-term rehabilitation outcomes
    • Dedicated wound-care nurse and infection-prevention expertise
    • Supportive therapists who motivate residents
    • Welcoming, family-like staff atmosphere
    • Active social and holiday programming
    • Courtyard and outdoor spaces for engagement
    • Clean, welcoming common areas
    • Periodic family updates and communication
    • Accessible on-site physician/provider visits
    • Hands-on supervisors and administrators recognized for leadership

    Cons

    • Inconsistent responsiveness to resident calls and care needs
    • Variable clinical-care quality across units and shifts
    • Variable rehabilitation and therapy consistency
    • Housekeeping and maintenance inconsistencies, including sanitation concerns
    • Gaps in family communication and complaint-resolution processes
    • Inconsistent enforcement of facility policies (e.g., smoking)
    • Admission and placement accuracy gaps
    • Limited visitation policy flexibility during infectious events
    • Medical-records access and billing transparency issues
    • Inconsistent leadership responsiveness and empathy
    • Gaps in informed-consent and care-plan communication

    Summary of reviews

    Reviews of Keystone Post Acute present a mixed picture: many accounts highlight strong frontline caregiving and effective therapy services, while other accounts raise operational and communication concerns. Positive comments cluster around nursing, therapy, and certain clinical specialists; negative comments concentrate on responsiveness, cleanliness, and management consistency.

    Care quality and clinical services: Multiple reviewers praised skilled physical and occupational therapy and cited successful short-term rehabilitation outcomes. Wound care and infection-prevention expertise were also noted as strengths in specific cases. At the same time, there are recurring concerns about inconsistent clinical-care quality across units and shifts, delays in responding to resident calls, and gaps in care-plan communication. A few accounts described serious events that generated family concern; these are framed in reviewers' terms as concerns following a resident's death or unexplained changes to a resident's appearance. Prospective families should ask about clinical-safety protocols, transfer procedures, and how the facility communicates about significant incidents.

    Staff and culture: Many reviews emphasize compassionate, attentive nurses, engaged CNAs, and a family-like floor-staff culture. Specific staff members and supervisors received positive mention for hands-on leadership and responsiveness. However, other accounts describe a different tone: callous reception, brusque interactions, and inconsistent empathy from some leaders. This pattern suggests variability in staff conduct and leadership presence across shifts or departments rather than a uniform culture.

    Dining, activities, and daily life: Comments on dining are mixed; some families praised the food, while others described inconsistent meal quality. The facility receives consistent positive feedback for social programming and seasonal events — trunk-or-treat, holiday celebrations, and courtyard activities were highlighted as meaningful engagement opportunities that lift resident mood.

    Facilities and housekeeping: Facility impressions vary. Several reviews describe clean, welcoming common areas and well-used outdoor spaces, while others point to housekeeping lapses, visible room maintenance issues, and a need for deeper cleaning or updates in some areas. Policy enforcement concerns — for example, staff smoking in view of residents — were raised and suggest inconsistent application of facility rules.

    Management, communication, and administration: Administrators and supervisors were praised by many for effective leadership and communication; specific individuals received positive mention. Conversely, other reviewers described difficulty getting concerns addressed, a perception that complaints were brushed off, and an unsympathetic tone from some managerial staff. Additional operational concerns include admission/placement accuracy (expectations about private rooms not always being met), limited visitation flexibility during infection-control periods, and unclear or costly medical-records access processes.

    Notable patterns and guidance: The overall pattern is one of polarization — numerous families describe excellent care, successful rehab, and engaged staff, while other families describe significant breakdowns in responsiveness, housekeeping, and complaint resolution. For prospective residents and families, recommended due diligence includes: visiting during multiple shifts to observe staff interactions and responsiveness; asking for written details about room placement, therapy plans, and policy enforcement (smoking, visitation); inquiring about medical-records fees and the grievance/complaint process; and reviewing state inspection records. These steps can help identify whether the facility’s strengths align with a particular resident’s needs and expectations.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Keystone Post Acute

    Keystone Post Acute is located at 3672 N First St, Fresno, CA, 93726.

    About Keystone Post Acute

    Keystone Post Acute serves people who need skilled nursing, rehabilitation, or post-acute care, and they take both Medicare and Medicaid since they're a certified skilled nursing facility with about 65 certified beds and an average of 61 residents a day, and it's been managed by Fresno Nursing and Rehab Center LLC since 2019, with Eduro Healthcare LLC and Michael Bewsey as indirect owners and Keystone Post Acute stays open every day, all day. The staff includes registered nurses, licensed vocational nurses, certified nursing assistants, licensed therapists, a registered dietitian, and healthcare administrators, although there's a pretty high nurse turnover rate at 100% over 12 months, and residents get an average of 20 minutes daily with an RN, 57 minutes with an LVN, and 150 minutes with a CNA, which adds up to four hours of nursing care per person each day, which is a little lower than the state average. There's 24-hour licensed nursing care on-site with supervision at all times, and every room has emergency call systems and alert features. Care options cover a wide range from short-term rehabilitation like physical, occupational, and speech therapy provided by licensed pros to long-term skilled and intermediate nursing care for the very frail. They also offer services in pain management, diabetes and cardiac care, wound care - including negative pressure wound therapy - IV therapy, balance and vestibular therapy, fall prevention, stroke and orthopedic rehab, neurologic rehab for Parkinson's or MS, adaptive and assistive equipment, and help with activities of daily living such as bathing, dressing, transfers, medication management, and incontinence care. There are special meal programs, nutrition and hydration services, and residents have access to furnished rooms with private bathrooms, cable TV, kitchenettes, air conditioning, phones, and Wi-Fi. Community areas include a movie room, game room, arts and music spaces, a library, gardens, and outdoor common areas, with resident groups and a variety of activities, from movie nights and art to outdoor programs and fitness. Keystone Post Acute is a for-profit facility, and while it does participate in CMS Quality initiatives and offers a range of specialized medical and therapy services - including podiatric and dental services, lab and pharmacy, diagnostic X-ray, and mental health services - inspection reports do show a history of deficiencies, with two noted in October 2024, one in March 2025, and a total of 42 in recent years, including issues with infection control and care planning, so families considering it will want to look over current inspection information and talk over any questions about resident safety or care plans. The facility uses individualized care plans designed to help with transition and recovery, and rooms are equipped with 24-hour call and alert systems, while housekeeping and laundry services are included, and you'll find both private and semiprivate rehab suites available for those recovering after surgery or illness. There's a website at keystonepostacute.com where you can see more about their services, staff, and daily activities.

    People often ask...

    Keystone Post Acute offers assisted living, memory care, and skilled nursing.

    There are 3 photos of Keystone Post Acute on Mirador.

    The full address for this community is 3672 N First St, Fresno, CA 93726.

    No, Keystone Post Acute does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Keystone Post Acute. The information above has not been verified or approved by the owner or operator. For exact information, please contact Keystone Post Acute directly. There is no cost for this service. We are compensated by the community you select.

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