Nursing homes › California › Keystone Post-Acute
3672 North First Street, Fresno, CA 93726 · 5592275383 · 65 certified beds
Per CMS filings, this facility is affiliated with Eduro Healthcare, a group operating 35 facilities in 7 states. Group record: average rating 2.4/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,770,280 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.93 (California median: 4.24). RN hours: 0.23. Weekend total: 3.51. Nursing staff turnover: 47%.
All-time on record: 48 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-30 |
| 2026-02-05 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-02-27 |
| 2025-05-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-26 |
| 2025-05-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-06-26 |
| 2025-05-30 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2025-06-26 |
| 2025-05-30 | 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 | Health | corrected 2025-06-26 |
| 2025-05-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Give the resident's representative the ability to exercise the resident's rights. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | 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. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-26 |
| 2025-05-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-06-26 |
| 2025-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-02 |
| 2024-10-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-10-22 |
| 2024-10-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-10-22 |
| 2024-08-21 | 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. | E | complaint | corrected 2024-09-13 |
| 2024-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-07-05 |
| 2024-04-26 | 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. | F | Health | corrected 2024-05-31 |
| 2024-04-26 | 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. | F | Health | corrected 2024-05-31 |
| 2024-04-26 | 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. | F | Health | corrected 2024-05-31 |
| 2024-04-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-31 |
| 2024-04-26 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | 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. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | 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. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2024-05-31 |
| 2024-04-26 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-05-31 |
| 2024-04-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-05-31 |
| 2024-04-26 | Keep all essential equipment working safely. | D | Health | corrected 2024-05-31 |
| 2024-04-26 | Put firmly secured handrails on each side of hallways. | D | Health | corrected 2024-05-31 |
| 2023-11-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-12-28 |
| 2023-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-11-02 |
| Date | Type | Amount |
|---|---|---|
| 2023-11-15 | Fine | $42,764 |
| 2023-11-15 | Payment Denial | 13 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRESNO NURSING AND REHAB CENTER LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2019 |
| EDURO HEALTHCARE LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 06/01/2019 |
| BEWSEY, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2019 |
| MONROE, DUSTIN | Corporate Officer | Individual | NOT APPLICABLE | since 07/19/2022 |
| FRESNO NURSING AND REHAB CENTER LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056266. Corrections: data@carerecords.org.