Keystone Post Acute

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

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    Reviews

    4.35·(57)

    Overall rating

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

      4.1
    • Staff

      4.2
    • Meals

      3.3
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Compassionate, patient, and attentive nursing and CNA staff
    • Friendly, welcoming interactions with residents and visitors
    • Responsive admissions and administrative support
    • Family communication and care coordination
    • Effective physical and occupational therapy support
    • Respectful, individualized attention to residents
    • Engaging activities and family events
    • Nutritious meals and generally positive dining experiences
    • Clean, welcoming, and well-maintained interior areas
    • Supportive courtyard and resident-centered environment

    Cons

    • Uneven responsiveness to resident concerns and care-plan communication
    • Variable rehabilitation delivery and therapy access
    • Inconsistent room-level cleanliness and deep-cleaning
    • Aging physical plant and ongoing updating needs
    • Occasional concerns about staff communication tone and professional conduct
    • Variable family support during serious illness and end-of-life care

    Summary of reviews

    Keystone Post Acute receives many positive accounts of attentive nursing and CNA care. Families and residents describe staff as kind, patient, and helpful, with some noting that staff take time to learn residents’ needs and provide respectful, individualized support. Therapy is frequently praised for helping residents work toward recovery goals, though a few critical accounts describe rehabilitation as limited or disappointing. These contrasting experiences suggest that care and therapy may not feel equally consistent to every resident or family.

    Family communication and management are also viewed positively in many reviews. Admissions staff are praised for helping with transitions, and the administrator is described as accessible, involved, and responsive to families. Several accounts credit leadership with facility improvements and appreciate staff efforts to support families during difficult periods. However, critical accounts raise concerns about responses to resident care questions, communication with visitors, and support during serious illness; one includes concerns following a resident’s death.

    Dining feedback is generally favorable: reviewers describe meals as good or enjoyable, and one notes that food was tailored to residents’ needs. Activities are a clear strength, with residents participating in scheduled programming and family events such as holiday celebrations and Trunk or Treat. The courtyard is also described as a positive space for residents.

    Views on the physical environment are mixed. Some visitors describe the interior as clean, welcoming, and well maintained, while others say rooms need more thorough cleaning. Reviewers also mention that the building is older and could benefit from updating. Overall, the reviews portray a facility with many valued staff members, active programming, and visible administrative engagement, alongside concerns about consistency in rehabilitation, responsiveness, cleanliness, and the condition of the building.

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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

    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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