From 2 postings and nurse reviews · Employer research Sep 22, 2026Sources
The short version
Public detail on this employer is thin: one hourly range for a temp-to-PRN respiratory role at $35 to $42, plus two employee reviews pulling in opposite directions.
Employer research, Sep 22, 2026
A respiratory therapist posting lists $35 to $42 an hour on a temp-to-PRN arrangement, so there is a stated range to negotiate against before you interview.
For experienced nursesSources
As of 2026-09-22Source: indeed.comAn activity director writing about the place led with the residents, saying they make staff feel welcomed and part of a community.
For experienced nursesSources
As of 2025-12-25Source: indeed.comA temp-to-PRN respiratory role appears in the pay detail, which suggests short-term and per-diem arrangements exist here.
For travel nursesSources
As of 2026-09-22Source: indeed.com
Who it fits
Best fit
- LPNs and LVNs: all 2 roles accept an LPN or LVN
Nursing here
Benefits
The only benefit visible in public sources is a $1,500 sign-on mentioned in a local hiring post, with no date on it.
Published pay and benefits
- Hourly pay
Respiratory Therapist - Temp to PRN hourly rate range $35 to $42
As of 2026-09-22
Sources
- Sign-on bonus
$1,500.00
Sign-on bonus listed in local post-acute hiring post mentioning Keystone Post Acute
Sources
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Staffing and Overtime Restrictions
- A CNA reported frequent short staffing, lack of approved overtime or double shifts, and weak teamwork across evening and night shifts.
Sources
As of 2026-05-30Source: indeed.com- Resident Interactions
- An activity director praised the residents, sharing that they make staff feel welcomed and part of a community.
Sources
As of 2025-12-25Source: indeed.com
The hard parts
A CNA described frequent short staffing, no approved overtime or doubles, and thin teamwork on evenings and nights — ask specifically how evening and night shifts are covered.
Sources
As of 2026-05-30Source: indeed.com
What to ask
- How is base pay set for the role, and which differentials apply?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What does a usual day’s workload look like?
Living in Fresno, CA
Fresno pairs California nursing pay with rare affordability: living costs run just 2% above the national average and 27% below the state typical. Settle among mid-century estates in Fig Garden or find rentals in Yosemite. With median home prices under $450,000—roughly half the California median—you can build real equity off-shift in the Central Valley.
Browse roles in Fresno- Metro price level · Fresno area
- 2% above the national average
- BEA index 102.2 (100 = national)
- Median gross rent
- $1,421/mo
- rent and tenant-paid utilities
- Median household income
- $70,991/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Common questions
Which shifts are open?
Of the 2 roles with a stated shift, 2 are rotating shifts.
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Keystone Post Acute, and we tell you what happens next.
Current openings at Keystone Post Acute
Licensed Vocational Nurse - PRN
$30–$36/hr
- LVN
- Per Diem as needed all shifts.
- Per diem
Licensed Vocational Nurse - PRN
$30–$36/hr
- LVN
- Per Diem as needed all shifts.
- Per diem
Sources
- facebook.com/groups/653513375760154/posts/1577717236673092
Nursing here
- indeed.com/cmp/Keystone-Post-Acute/reviews
The short version, Nursing here, What nurses say, The hard parts · as of 2026-09-22
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