Inspection citations
2’23
20’24
13’25
11’26
46 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 17, 2026 | D · potential | 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. | Routine |
| Jul 17, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jul 17, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jul 17, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jul 17, 2026 | F · potential | 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. | Routine |
| Jul 17, 2026 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 17, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 17, 2026 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Jul 17, 2026 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| May 8, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 5, 2026 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| May 30, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 30, 2025 | D · potential | Give the resident's representative the ability to exercise the resident's rights. | Routine |
| May 30, 2025 | D · potential | 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. | Routine |
| May 30, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| May 30, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 30, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 30, 2025 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| May 30, 2025 | E · potential | 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. | Routine |
| May 30, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 30, 2025 | D · potential | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Routine |
| May 30, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| May 30, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Mar 13, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 3, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Oct 3, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Aug 21, 2024 | E · potential | 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. | Complaint |
| Jun 13, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Apr 26, 2024 | E · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Apr 26, 2024 | E · potential | 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. | Routine |
| Apr 26, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Apr 26, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 26, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 26, 2024 | F · potential | Try 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. | Routine |
| Apr 26, 2024 | E · potential | 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. | Routine |
| Apr 26, 2024 | F · potential | 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. | Routine |
| Apr 26, 2024 | F · potential | 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. | Routine |
| Apr 26, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 26, 2024 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Apr 26, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 26, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Apr 26, 2024 | D · potential | Keep all essential equipment working safely. | Routine |
| Apr 26, 2024 | D · potential | Put firmly secured handrails on each side of hallways. | Routine |
| Apr 26, 2024 | E · potential | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Routine |
| Nov 15, 2023 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 17, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Keystone Post-Acute
3672 North First Street, Fresno, CA 93726 · (559) 227-5383
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056266
- Certified beds
- 65
- Legal owner
- Fresno Nursing and Rehab Center LLC
- Part of
- Eduro Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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