Dycora Transitional Health - Community Care
3672 North First Street, Fresno CA 93726 · (559) 227-5383 · 95.23% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
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 :
Accepts Medicaid 1 : 65 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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
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
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
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.
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.
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.
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.
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.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of long-term residents taking antianxiety medications.
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.
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.
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.
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.
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.
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.
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.
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.
Percentage of Resident
Higher is Better