Keystone Post-Acute has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in California. Families considering this Fresno facility should carefully review its inspection history and quality metrics.
Staffing at Keystone Post-Acute is near the national average, with 3.94 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 47 deficiencies at Keystone Post-Acute. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.94 | 3.8 | Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.24 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.40 | 2.4 | Average |
| Weekend Total Nursing | 3.59 | 3.8 | Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 29, 2025 · Nutrition and Dietary Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 29, 2025 · Pharmacy Service Deficiencies
- Tag 0760 Severity EEnsure that residents are free from significant medication errors.May 29, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMay 29, 2025 · Pharmacy Service Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 29, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.6% | 4.5% | Better |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 14.0% | 14.5% | Average |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 8.6% | 14.0% | Better |
| Excessive weight loss | 2.1% | 7.5% | Better |
| New/worsened incontinence | 6.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $42,764
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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