Dycora Transitional Health - Community Care is located in the large metropolitan area of Fresno, California. This facility was given an impressive overall score of B+, resulting in it being one of the top ten nursing homes in the city. Fresno has a host of other nursing homes, however, we question whether you will need to visit too many others. This one looks like a first-rate option. The best part of this facility's impressive report card is its inspection rating. Inspection reports are discussed in the next section

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 65 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

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January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
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March
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April
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May
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June
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July
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August
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September
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October
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November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
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Facility Inspections

A
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMar 19: AApr 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

In addition to earning a strong overall rating, this facility fared even better in the area of inspections which is based on the facility's recent government inspections. We gave it an A for this area, which is one of our highest grades. Inspection ratings account for several factors found on a nursing home's inspection report. One of the most important criteria we look at is the number and severity of deficiencies. Facilities with better scores in this area generally have very few severe deficiencies. Fortunately, although this facility had a few minor dings on its report, it had no severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This tells you that the inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple minor dings are not necessarily something to panic about.

Nurse Quality

A-
Oct 18: BNov 18: BDec 18: BJan 19: B+Feb 19: B+Mar 19: B+Apr 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: AMar 20: AApr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Among this facility's other strengths is its elite nursing grade. We awarded them one of our better scores in that area, with a grade of A-. The nursing grade weighs several factors, however, the most important consideration is the number of nurse hours spent with patients. This nursing home averages 3.5 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any place the state in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can typically be avoided by offering better nursing care, such as having a protocol of moving residents more frequently.

Long-term Care Quality

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: AFeb 19: AMar 19: AApr 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: BMar 20: BApr 20: BMay 20: BJun 20: BJul 20: B+Aug 20: B+
Historical

This nursing home also was awarded a strong long-term care grade. Indeed, we awarded it an above average score of B+ in this category. When nursing homes receive a grade in this range in this category it generally means it has plenty of staff and is an overall good place to live on a permanent basis. Once we looked at the amount of care provided by aids and other staff, we next considered the facility's vaccination statistics. This facility vaccinated 100 percent of its patients against pneumonia. Vaccines are critical to keeping patients out of the hospital. Finally, this nursing home was able to limit hospitalizations. With only 1.33 hospitalizations per one thousand long-term resident days, this facility had fewer hospitalizations than most nursing homes.

Short-term Care Quality

D
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMar 19: BApr 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: B-Mar 20: B-Apr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

Switching gears to the fourth category, we gave this nursing home a D in our short-term care category. This is the nursing home's weakest category grade. However, we would not dwell on one poor area. Short-term care grades are often employed to grade a facility's performance with rehabilitation. In order to provide high-end rehabilitation services, facilities generally need to feature better levels of skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other licensed professionals. In this nursing home's case, it looks like it offers fewer physical therapist and registered nurse hours per resident than the average facility. The last statistic we assessed in this area is the percentage of residents who ultimately returned home from the facility. This nursing home struggled quite a bit in this area as well, with just 37.4 percent of its residents returning home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B+
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Dycora Transitional Health - Community Care Quality Metrics

Minimizes Pressure Ulcers

This is the percent of patients who suffered from a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be an indicator of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by patients not being moved frequently enough.

Provider
A+
1.38%
State
B+
6.95%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is an indication of the percentage of long-term care patients who had a fall which resulted in serious injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower levels of patient supervision.

Provider
A+
0.47%
State
A-
1.78%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percent of patients that have had a urinary tract infection. These infections are linked to inadequate hygiene.

Provider
A-
0.95%
State
A-
1.69%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric indicates the percent of long-term patients who are given antipsychotic drugs. High levels of antipsychotic drug use may indicate a nursing home is using these drugs to control patient behavior in scenarios where such medications aren't medically required. However, some nursing homes need to rely on these medications due to having more residents suffering from dementia.

Provider
B+
11.17%
State
A-
10.4%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percent of long-term residents taking antianxiety medications.

Provider
B
19.51%
State
A-
14.21%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric measures the percent of long-term residents exhibiting symptoms of depression. Many in the industry argue that this is a reliable measure of quality of care.

Provider
A+
0%
State
A
0.97%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percentage of residents that were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Provider
A-
99.21%
State
B+
94.67%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This indicates the percent of residents that required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's could be a sign of the decline of a patient's well-being.

Provider
B
15.08%
State
A-
9.21%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percent of long-term patients that were able to retain mobility.

Provider
D
8.28%
State
C
12.94%
National
B
17.11%

Percentage of Residents
Higher is Better

Hospitalizations

This is a measure of the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical health of patients.

Provider
B+
1.51
State
B-
1.88
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This metric tracks the number of rehospitalizations per thousand days of short-term patient care.

Provider
A
8.28
State
A-
12.94
National
B
17.11

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.

Provider
B+
8.46
State
B
9.82
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This datapoint is a measure of the percent of short-term stay residents who experienced functional improvements.

Provider
A
82.89%
State
B+
71.87%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Community Regional Medical Center 2.97 mi
2823 Fresno Street Fresno California 93721
(559) 459-6000
Acute Care Hospitals
Voluntary non-profit - Private
Saint Agnes Medical Center 3.65 mi
1303 E Herndon Ave Fresno California 93710
(559) 450-3000
Acute Care Hospitals
Voluntary non-profit - Church
Kaiser Foundation Hospital - Fresno 4.09 mi
7300 North Fresno St Fresno California 93720
(559) 448-4500
Acute Care Hospitals
Voluntary non-profit - Private
Clovis Community Medical Center 7.05 mi
2755 Herndon Ave Clovis California 93611
(559) 324-4000
Acute Care Hospitals
Voluntary non-profit - Private
Valley Children's Hospital 7.12 mi
9300 Valley Childrens Place Madera California 93636
(559) 353-5116
Childrens
Voluntary non-profit - Private

Nearby Dialysis

San Joaquin Valley Dialysis 0.1 mi
CMS Rating: 3 stars
Dialysis Stations: 22
3636 North First #144 Fresno California 93726
(559) 221-6311
Ash Tree Dialysis 2.46 mi
CMS Rating: 3 stars
Dialysis Stations: 36
2666 North Grove Industrial Drive Suite 106 Fresno California 93727
(559) 251-1919
Community Dialysis Center 2.79 mi
CMS Rating: 4 stars
Dialysis Stations: 41
215 North Fresno Street Suite 150 Fresno California 93701
(559) 459-3901
Fmc Fresno Airport East 2.92 mi
Dialysis Stations: 24
1899 North Helm Ave Suite 101 Fresno California 93727
(559) 452-1480
Davita Herndon Dialysis Center 3.71 mi
CMS Rating: 3 stars
Dialysis Stations: 48
560 E Herndon Ave, Ste 101 Fresno California 93720
(559) 432-5278
Fmc North Fresno Dialysis 4.13 mi
CMS Rating: 4 stars
Dialysis Stations: 20
6737 N. Willow Bldg C Fresno California 93710
(559) 324-1070
Palm Bluffs Dialysis Center 4.66 mi
CMS Rating: 3 stars
Dialysis Stations: 25
770 West Pinedale Ave Fresno California 93711
(559) 438-8512
Fresno Dialysis Center 6.07 mi
CMS Rating: 3 stars
Dialysis Stations: 24
4753 West Shaw Avenue, Suite 101 Fresno California 93722
(559) 276-4231