Keystone Post-Acute
Nursing Home Facility
3672 North First Street, Fresno, CA 93726
At Golden LivingCenter - Hillcrest, we strive to provide the most compassionate, resident-centered care possible. Hillcrest is located in Fresno, California less than five miles from Fresno Community Hospital and Roeding Park.
Operated by Eduro Healthcare, which runs 28 communities in our directory.
With 65 beds, Keystone Post-Acute is one of the larger communities in the area, senior care communities in Fresno average about 22 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 93% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Fresno average about 3.4 stars. Its most recent standard health inspection was in May 2025 and recorded 14 deficiencies.
Residents receive about 3.9 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 47%.
The community is located in Fresno County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 48 problems at Keystone Post-Acute. 3 findings involved harm to a resident. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $42,764. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give the resident's representative the ability to exercise the resident's rights.
Show 6 more
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Could cause more than minimal harm, one or a few residents
Resident 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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Keystone Post-Acute offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 65
- Occupancy 93%
- Nursing hours per resident/day 3.9
- Annual staff turnover 47%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Keystone Post-Acute yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.