Keystone Post-Acute
Owned by Bewsey, Michael
Fresno, California • Nursing home ID 056266
How does this nursing home compare?
#373 of 881
California nursing homes
Better than 57% for Registered Nurse (RN) care
Strength: More RN care than California average
Watch: 20 inspection problems found
Better RN staffing nearby
Other California nursing homes where residents get more Registered Nurse care:
- California Pacific Medical Ctr- Davies Campus Hosp 5.93 RN hrs/day
- Dept of State Hospitals - Napa D/p Snf 5.64 RN hrs/day
- Desert Regional Medical Center D/p Snf 5.28 RN hrs/day
- Providence Holy Cross Med Ctr D/p Snf 3.87 RN hrs/day
- Helen Bernardy Center D/p Snf 3.46 RN hrs/day
What matters most
Registered Nurse (RN) care
0.49 hours/day
≈ About average for California
California average: 0.45 hours/day
Ranked #373 of 881
California nursing homes for RN care
More RN time than 57% of California facilities
Total nursing care
4.04 hours/day
≈ About average for California
California average: 4.14 hours/day
Ranked #555 of 881
California nursing homes for total care
More total staffing than 37% of California facilities
What's the difference? RN hours focus on registered nurses (medical care).
Total hours include all staff (RNs, LPNs, nursing assistants).
A facility can have high total hours but low RN hours—they measure different aspects of care.
Quality & safety record
3/5 stars
20 inspection problems found during recent government inspections
Lower quality rating
Average problems
Badges compare this facility to other California nursing homes.
Higher quality ratings and fewer inspection problems are better.
Understanding nursing home quality
We compare each facility only to others in California. This keeps comparisons fair since different states have different regulations, costs, and challenges.
What families should look for:
- More RN hours — Registered nurses handle medications and complex medical care
- Higher quality ratings — 4-5 stars indicate better clinical outcomes
- Fewer inspection problems — Shows consistent compliance with safety standards
- Strong total staffing — More hours means more day-to-day attention for residents
Why this matters: Better staffing and quality scores are linked to safer,
more attentive care for residents—and more support and peace of mind for families.
Key terms explained
Registered Nurses (RNs): The most skilled nursing staff who can give medications and manage complex care. RNs require the most training.
HPRD: "Hours Per Resident per Day"—how much staff time each resident gets on average.
Quality rating (stars): A 1-5 rating based on clinical outcomes like pressure ulcers, infections, and resident health improvements.
Inspection problems: Issues found during official inspections—ranging from minor paperwork to serious safety concerns.
LPNs / CNAs: Licensed Practical Nurses and Certified Nursing Assistants—vital hands-on care roles with different training levels than RNs.
Data sources: Official federal datasets from CMS (Centers for Medicare & Medicaid Services) and PBJ (Payroll-Based Journal). Updated monthly. This information is for educational purposes and should not replace professional advice about care decisions.
Questions about this data? Learn how we calculate these scores or report an error.