Keystone Post-Acute - 2-Star Rehab Facility in Fresno, CA | Placet0.30h
RN HOURS
per resident/day
2/5
CMS STARS
overall rating
3.9★Enhanced
TRUST INDEX
Placet score
29.5%
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 13.95%Falls causing major injury 2.36%Pressure ulcers (high-risk) 2.64%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: May 2025 (323 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
3/5
★★★☆☆
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Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 39 min · US avg: 41 min
Total Nurse / Resident / Day
3h 57m
State avg: 4h 31m · US avg: 3h 53m
12 min
State avg: 5 min · US avg: 4 min
69 per 100
State avg: 38 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
57%below avg
US avg: 64%
Total Nurse Weekend
4h 13m
Federal Penalties
18 penalties · $384,876 total
| Date | Type | Fine | Denial Days |
|---|
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
| 11/15/2023 | Fine | $42,764 | - |
| 11/15/2023 | Payment Denial | - | 13 |
Inspection Citations
Survey: May 30, 2025(36 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for Harm
29.5 per 100
State avg: 23.2 · US avg: 23.9
18.9 per 100
State avg: 11.2 · US avg: 12.0
2.4 per 100
State avg: 1.6 · US avg: 3.3
2.6 per 100
State avg: 4.7 · US avg: 5.1
1.9 per 100
State avg: 1.5 · US avg: 1.6
85.5 per 100
State avg: 93.2 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
25/100
Incentive Payment
-1.64% penalty
Healthcare-Assoc. Infections
6.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
110
Avg Length of Stay
39.5 days
Avg Payment / Stay
$22,408.11
Patient Complexity
2.96 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Pharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: March 13, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: October 3, 2024(6 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: August 21, 2024(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: June 13, 2024(3 citations)
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
+ 5 more survey(s) not shown in snapshot