Community Subacute and Transitional Care Center
3003 N Mariposa, Fresno, CA 93703


Community Subacute and Transitional Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055258. The address is 3003 N Mariposa, Fresno, CA 93703. The zip code is 93703. The phone number is 5594591711.


Community Subacute and Transitional Care Center · 3003 N Mariposa, Fresno, CA 93703

Federal Provider Number 055258
Provider Name COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER
Address 3003 N MARIPOSA
FRESNO, CA 93703
Phone Number 5594591711
SSA County Code 90
County Name Fresno
Ownership Type Non profit - Corporation
Certified Beds 106
Certified Beds Residents 103
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 1
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.19806
Reported LPN Staffing Hours per Resident per Day 2.07427
Reported RN Staffing Hours per Resident per Day 0.94903
Reported Licensed Staffing Hours per Resident per Day 3.0233
Reported Total Nurse Staffing Hours per Resident per Day 5.22136
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02767
Expected CNA Staffing Hours per Resident per Day 2.52277
Expected LPN Staffing Hours per Resident per Day 0.96327
Expected RN Staffing Hours per Resident per Day 1.36616
Expected Total Nurse Staffing Hours per Resident per Day 4.85219
Adjusted CNA Staffing Hours per Resident per Day 2.13788
Adjusted LPN Staffing Hours per Resident per Day 1.78729
Adjusted RN Staffing Hours per Resident per Day 0.51906
Adjusted Total Nurse Staffing Hours per Resident per Day 4.33758
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 11/18/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 17
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 112
Cycle 2 Standard Health Survey Date 10/14/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 56
Cycle 2 Total Health Score 168
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 09/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 80
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $27250.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Community Subacute and Transitional Care Center

Owner Name Role Association Date
ABUNDIS, SUSAN (Individual) DIRECTOR since 01/01/2017
ARENAS, RACHEL (Individual) MANAGING EMPLOYEE since 01/01/2012
ARORA, AJIT (Individual) DIRECTOR since 01/01/2017
ASSEMI, FARID (Individual) DIRECTOR since 02/03/2015
BRADLEY, TERRANCE (Individual) DIRECTOR since 02/03/2015
COOK, JERRY (Individual) DIRECTOR since 02/03/2015
CUNHA, MANUAL (Individual) DIRECTOR since 02/03/2015
DANIEL, LINZIE (Individual) DIRECTOR since 02/03/2015
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 09/11/2013
HERNANDEZ, JUANITA (Individual) OFFICER since 01/01/2013
IMAI, REN (Individual) DIRECTOR since 02/03/2015
JOSLIN, TIMOTHY (Individual) MANAGING EMPLOYEE since 07/01/2005
JOSLIN, TIMOTHY (Individual) OFFICER since 01/01/2013
KIRITANI, TRACY (Individual) MANAGING EMPLOYEE since 04/24/2017
MCGREGOR, JOHN (Individual) DIRECTOR since 02/03/2015
MOFFETT, DEBORAH (Individual) MANAGING EMPLOYEE since 01/01/2013
MOFFETT, DEBORAH (Individual) OFFICER since 01/01/2013
MOUANOUTOUA, VONGSAVANH (Individual) DIRECTOR since 02/03/2015
NEUMAN, CHRISTOPHER (Individual) MANAGING EMPLOYEE since 04/24/2017
NOWICKI, JOSEPH (Individual) MANAGING EMPLOYEE since 02/03/2015
NOWICKI, JOSEPH (Individual) OFFICER since 02/03/2015
PETERSON, MICHAEL (Individual) DIRECTOR since 07/18/2015
QUINTO, RUTH (Individual) DIRECTOR since 02/03/2015
RAFFERTY, PATRICK (Individual) MANAGING EMPLOYEE since 01/01/2013
SLATER, DAVID (Individual) DIRECTOR since 02/03/2015
STURDEVANT, ROGER (Individual) DIRECTOR since 02/03/2015
SYNN, HOWARD (Individual) DIRECTOR since 02/03/2015
VENUGOPAL, CHANDRASEKAR (Individual) OFFICER since 05/16/2016
WAGONER, CRAIG (Individual) MANAGING EMPLOYEE since 06/18/2014

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CA · Nursing Home

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