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

    Pros

    • Attentive and compassionate staff
    • Skilled nurses and CNAs
    • Strong, motivating therapy/rehab program (in many reports)
    • Helpful and caring administrators/supervisors (several named)
    • Knowledgeable Director of Nursing (DON) cited positively
    • Effective wound care nurse
    • Noted infection prevention professional and safety focus
    • Friendly, welcoming environment and courtyard
    • Clean and quiet facility (reported by multiple reviewers)
    • Teamwork among staff and regular family updates
    • Specific staff singled out for excellent care (e.g., Ms. Reyes, Peggy, Dr. Buddy visits)
    • Holiday/seasonal engagement and positive family experiences
    • Supportive, involved staff who motivate residents
    • Quarterly family communications

    Cons

    • Unfulfilled promises regarding private rooms
    • Inconsistent or poor clinical care, including reports of patient deaths after admission
    • Allegations of negligence and abuse
    • Unresponsive staff in urgent situations (residents yelling for help)
    • Hostile or rude staff and administration in some cases
    • Complaints brushed off and poor follow-through from management
    • Mixed therapy quality (reports range from 'amazing' to 'a joke')
    • Pandemic visitation restrictions and reports of zero visitation
    • Questionable practices (e.g., unexplained shaving of resident's head)
    • Facility cleanliness and maintenance issues (cobwebs, need for deep cleaning, needs updating)
    • Smoking in front of patients on premises
    • Poor dining experience reported by some (promised good food not delivered)
    • Communication breakdowns with families and billing/records concerns (e.g., high charge for records)
    • Inconsistent safety/care experiences across shifts or staff

    Summary review

    Overall sentiment across the reviews is highly polarized, with frequent, specific praise for direct-care staff and therapy services coexisting with serious, recurring complaints about care consistency, management response, and facility practices. Many reviewers highlight individual caregivers and departments as exemplary — nurses, CNAs, therapists, wound care, and certain administrators and supervisors receive repeated positive mention. These reviews describe attentive, compassionate staff who communicate with families, motivate residents in therapy, provide a welcoming environment, and contribute to positive experiences such as holiday events or meaningful provider visits.

    At the same time, a substantial subset of reviews raise severe concerns about clinical quality and safety. Multiple reports allege negligence, abuse, or patient deterioration after admission, including at least one account of a resident dying after transfer to the facility. There are also reports of unresponsiveness — staff not answering calls for help — and of care plans or promises not being honored (for example, private rooms that were promised but not delivered). These are not isolated minor complaints; they include allegations of systemic problems such as ignored complaints, an unsympathetic or hostile administrative response, and direct accusations of poor treatment by some staff members.

    Management and administrative consistency appear to be a core dividing line in the reviews. Several reviewers praise the administrator, assistant administrator, specific supervisors, and named staff (Peggy, Ms. Reyes, Dr. Buddy, Lorraine V., etc.) for excellent communication and leadership. Conversely, others describe a brusque or hostile reception from management, a DON described as rude by some, and complaints being dismissed rather than investigated. This mixture suggests variability in the experience depending on which department, shift, or individual staff members are involved.

    Facility condition and operations are likewise mixed in the feedback. Some families report a clean, quiet, and welcoming facility with a pleasant courtyard, while others describe visible maintenance and cleanliness problems (cobwebs, need for deep cleaning, and outdated areas). There are also troubling reports of smoking on the premises in view of residents, which raises concerns about enforcement of facility policies and resident safety. Dining receives limited but notable criticism — at least one reviewer says claims of good food were false — while several other reviewers do not mention meals, making it a lower-frequency but valid concern.

    Therapy and rehabilitation services show a strong divide: several reviews call therapy 'amazing' and the best rehab, crediting staff with motivating residents and supporting recovery; other reviews characterize physical therapy as ineffective or even 'a joke.' This discrepancy indicates that therapy quality may be inconsistent across therapists, shifts, or individual resident cases.

    Communication and family engagement also vary. Positive reports include quarterly updates and involved staff who keep families informed. Negative reports emphasize poor communication, difficulty obtaining records (including a claim of a $450 charge for medical records), and pandemic-era visitation policies described as total lockdowns by some families. There are also distressing personal reports such as unexplained shaving of a resident's head and restricted visitation during critical periods, which contributed to strong family dissatisfaction.

    In summary, Keystone Post Acute appears to have real strengths at the staff and unit level: many direct-care employees, therapists, and some leaders are perceived as compassionate, skilled, and effective. However, the facility also displays notable, repeated weaknesses in consistency of care, management responsiveness, cleanliness/maintenance in some areas, and adherence to promised services. The pattern is one of highly variable experiences — families may encounter excellent, attentive care or, conversely, serious lapses and hostile responses. Prospective families should weigh both the positive individual staff reports and the serious negative allegations, seek detailed, written assurances about care plans and room assignments, ask about incident history and visitation policies, and request to meet key staff members involved in care before placement.

    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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