Community Subacute and Transitional Care Center
3003 N Mariposa, Fresno CA 93703 · (559) 459-1711 · 93.3% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Community Subacute and Transitional Care Center is an average-sized non-profit nursing home located in Fresno, California. With an overall rating of D, this is a subpar nursing home. This facility has very little working in its favor. Despite all this, one of the few highlights of this nursing home's report card is its strong inspection score. You can continue reading to find out about inspections and other category grades
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 106 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were not high on this facility overall, we awarded it a B for our inspections category. This grade is much more impressive than the facility's overall score. Inspection scores weigh several factors, including deficiencies and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. Although this nursing home had a few deficiencies on its government inspection report, none were serious based on CMS' deficiency scale. A couple minor deficiencies are not necessarily the end of the world.
Nurse Quality
This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of B- for that category, which is not a bad score. Nursing scores are primarily tied to a facility's level of nurse staffing. According to its CMS data, this nursing home provided an average of 5.2 hours of nursing care per patient on a daily basis. Roughly one fourth of this care came from registered nurses, which are highly skilled nurses. Both of these figures are higher than average. Finally, our nursing grades also factor in quality-based assessments, such as preventing major falls. This place performed admirably in this datapoint. Avoiding major falls is often a good indicator that a facility has quality controls in place. Many falls can be avoided if a nursing home offers enough nurses to assist its patients.
Long-term Care Quality
The next area we analyzed is long-term care, where this facility was given a grade of B- in this category. In the category of long-term care, we assess the quantity of care provided by a nursing home, as opposed to more medically-intensive services. On top of assessing the amount of care provided by aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This nursing home administered the vaccine to 93.71584 percent of its patients. This is somewhat less than we anticipated but still a decent figure. The last statistic we assessed was the nursing home's hospitalization rate. Here we found that this place had a relatively high 5.39 hospitalizations per one thousand long-term resident days. Neither its vaccination record nor its hospitalization rate were strengths for this place in this category.
Short-term Care Quality
The final category we scored was short-term care. We awarded this nursing home a C in that category. Our short-term care grades are arguably most meaningful for folks in need of rehabilitation from their nursing home. Rehabilitation typically requires higher levels of highly-skilled nursing. Skilled nursing means not just nursing, but also physical and occupational therapy, as well as other variations of therapy. One of this nursing home's strength is that it offers more hours of care from registered nurses to its residents. The final metric we considered in this category is the number of residents who were able to return home from the nursing home. We found that just 41.6 percent of this nursing home's residents returned home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Community Subacute and Transitional Care Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients staying in one position for too long. Better nursing care reduces the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric gauges the percentage of long-term stay residents that suffered falls resulting in serious injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indicator of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients who sustained a urinary tract infection. UTI's are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. UTI's are routinely the result of worse hygiene protocols. However, this datapoint may also be misleading for some nursing homes due to inconsistent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be helpful for many residents, it is important to make sure these medications are being used appropriately. In some situations, excessive reliance on these medications may mean a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients given antianxiety drugs. Antianxiety medications are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of patients who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of residents that needed increased assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could be a sign of the decline of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
Measures the percent of long-term care patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term stay residents that saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better