Keystone Post Acute

    3672 N First St, Fresno, CA, 93726
    3.9 · 33 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Mixed care; unsafe, tragic outcome

    I had a deeply mixed experience. Some nurses, CNAs and therapists were kind, attentive and motivating - a few staff and therapy sessions were outstanding - but overall care and management were unacceptable. Complaints were brushed off, staff could be hostile or callous, the facility felt dirty/unsafe at times (smoking, cobwebs), and my loved one deteriorated and died after admission. I cannot recommend this place.

    Pricing

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    Amenities

    3.88 · 33 reviews

    Overall rating

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

      3.5
    • Staff

      3.5
    • Meals

      1.0
    • Amenities

      2.3
    • Value

      1.0

    Location

    Map showing location of Keystone Post Acute

    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.

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