KEYSTONE POST-ACUTE

Fresno · CA · For profit - Limited Liability company · EDURO HEALTHCARE chain · 65 certified beds · CCN 056266 · FRESNO NURSING AND REHAB CENTER LLC


KEYSTONE POST-ACUTE operates 65 certified beds in FRESNO, California. Its Medicare and Medicaid certification dates to 1971-02-25. It averages 60.7 residents a day.

What harm was found in the violations cited at KEYSTONE POST-ACUTE?

CMS lists 48 health-inspection deficiencies for KEYSTONE POST-ACUTE since 2022-08-05, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-08.

Survey dateTagDeficiencySeverity
2026-05-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-05F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-05-30F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-30F0755, F0760, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2025-05-30F0550, F0551, F0584, F0656, F0658, F0835, F0880, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give the resident's representative the ability to exercise the resident's rights. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-03-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-10-03F0656, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-08-21F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2024-06-13F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-04-26F0700, F0727, F0758, F0812Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-04-26F0552, F0584, F0656, F0658, F0726, F0842, F0880, F0940Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.E
2024-04-26F0692, F0883, F0908, F0924Provide enough food/fluids to maintain a resident's health. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Keep all essential equipment working safely. / Put firmly secured handrails on each side of hallways.D
2023-11-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-10-17F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2022-08-05F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2022-08-05F0812, F0881, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2022-08-05F0658, F0679, F0803, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Provide and implement an infection prevention and control program.E
2022-08-05F0755, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D

Why was KEYSTONE POST-ACUTE fined?

DateTypeAmount
2023-11-15Fine$42,764

Has KEYSTONE POST-ACUTE had payment denied by Medicare?

Payment denial startLength in days
2023-12-1513

How is KEYSTONE POST-ACUTE staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.926294.51570
Total nursing staff turnover (%)47.136.7
Average number of residents per day60.787.9

Who owns KEYSTONE POST-ACUTE, and what chain is it in?

KEYSTONE POST-ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name FRESNO NURSING AND REHAB CENTER LLC and belongs to the EDURO HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFRESNO NURSING AND REHAB CENTER LLCsince 06/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTEDURO HEALTHCARE LLCsince 06/01/2019
W-2 MANAGING EMPLOYEECARTER, BRAEDENsince 02/01/2024
CORPORATE OFFICERBEWSEY, MICHAEL, MONROE, DUSTINsince 06/01/2019
OPERATIONAL/MANAGERIAL CONTROLFRESNO NURSING AND REHAB CENTER LLCsince 06/01/2019

Were you or a family member harmed at KEYSTONE POST-ACUTE?