{ "schemaVersion": 4, "entityId": "0176593702", "canonicalName": "CENTRAL STAR PSYCHIATRIC HEALTH FACILITY FRESNO", "status": "corporate_chain", "statusLabel": "Corporate-chain/accountability context", "summary": "Central Star Psychiatric Health Facility Fresno was reviewed in the Fresno custom NEXT-style batch. HCAI still lists Central Star PHF open at Kings Canyon; Fresno County materials also show youth PHF relocation to Millbrook and a separate 2026-2030 CRT contract at 496 S Barton. Unsupported PE ownership, contract scope, faith affiliation, sibling status, and independence claims remain limited to the cited sources.", "lastReviewed": "2026-07-04", "review": { "reviewer": "Codex Fresno custom NEXT-style batch", "evidence_grade": "source-family review completed with explicit unresolved items", "confidence": "medium", "source_count": 6, "ownership_source_count": 6, "identity_match_method": "Entity ID 0176593702; no public CCN confirmed in batch", "publication_decision": "Flag for reconciliation; do not treat old Kings Canyon row as current without resolving location", "batch_id": "next-50-2026-07-04-fresno-city-001" }, "firstGlance": { "taxOwnershipType": "For-profit / contractor pending license verification", "operator": "Central Star Behavioral Health Inc.", "directPeOwnership": "No documented PE link", "peRelationship": "No documented PE link", "institutionalShareholderContext": "No direct institutional-shareholder ownership claim is made from this batch.", "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "careLevel": "PSYCHIATRIC", "currentCeo": "Leadership research pending", "previousRelevantCeo": "Not identified in this Fresno batch", "operatorType": "Behavioral health contractor", "operatorName": "Central Star Behavioral Health Inc.", "parentSystem": "Stars Behavioral Health Group / Central Star Behavioral Health", "affiliatedSystem": "Stars Behavioral Health Group / Central Star Behavioral Health", "religiousAffiliation": "Secular/no evidence", "confidence": "medium", "evidenceAsOf": "2026-07-04", "bottomLine": "HCAI still lists Central Star PHF open at Kings Canyon; Fresno County materials also show youth PHF relocation to Millbrook and a separate 2026-2030 CRT contract at 496 S Barton." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "estimateMethod": "No catchment or access-time model was run for this custom batch.", "catchmentDescription": "FRESNO, FRESNO, CA", "traumaCareLevel": "PSYCHIATRIC", "publicFacingCaveat": "Project row address may be stale or confused with Exodus/County site; exact current license record needs verification" }, "religiousAffiliation": { "affiliation": "Secular/no evidence", "affiliationType": "not_established", "sponsorOrOrder": "", "faithBasedSystem": "", "scope": "not_established", "confidence": "medium", "sourceIds": [], "sourceUrls": [], "evidenceAsOf": "2026-07-04", "notes": "No current faith-based governance source captured; do not infer beyond this review." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not reviewed in this Fresno batch.", "noCausationClaim": true, "note": "Contract, ownership, and affiliation signals are presented as context only; this release does not infer quality or labor causation." }, "leadership": [], "identifiers": { "ccn": "", "npi": null, "historicalCcns": [], "aliases": [] }, "ownershipHistory": [ { "relationship_id": "rel-centralstar-county", "relationship_type": "operates", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "fresno_county_central_star_2024|fresno_county_central_star_2025|fresno_county_central_star_2026_crt|hcai_central_star_open_2026", "plain_english_summary": "Fresno County materials support Central Star youth PHF/CRT contractor relationships with relocation/contract nuance" } ], "acquisitionEvents": [ { "date": "2024-12-03", "title": "county contract relocation", "detail": "County item modified Central Star adolescent PHF location from Kings Canyon to 3115 N Millbrook.", "sourceIds": [ "fresno_county_central_star_2024" ] }, { "date": "2026-02-10", "title": "county contract award", "detail": "County approved Central Star CRT agreement at 496 S Barton from 2026-03-01 through 2030-06-30.", "sourceIds": [ "fresno_county_central_star_2026_crt" ] } ], "financialAndUtilizationSeries": [], "cmsOwnerRecords": [], "ownershipChain": { "model": "Fresno custom NEXT-style batch relationship graph. Edges are source-backed context, not automatic public label changes.", "confidence": "medium", "nodes": [ { "id": "0176593702", "label": "CENTRAL STAR PSYCHIATRIC HEALTH FACILITY FRESNO", "kind": "hospital", "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001." }, { "id": "fresno-county", "label": "fresno county", "kind": "organization", "evidence": "Fresno County materials support Central Star youth PHF/CRT contractor relationships with relocation/contract nuance" } ], "edges": [ { "id": "rel-centralstar-county", "from": "0176593702", "to": "fresno-county", "relationship": "county_behavioral_health_contract", "confidence": "medium", "sourceIds": [ "fresno_county_central_star_2024", "fresno_county_central_star_2025", "fresno_county_central_star_2026_crt", "hcai_central_star_open_2026" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." } ], "caveats": [ "Project row address may be stale or confused with Exodus/County site; exact current license record needs verification", "Potential stale address/program conflation across PHF and CRT records requires state/county reconciliation.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ] }, "ownershipConnections": [ { "entityName": "fresno county", "entityKind": "organization", "relationship": "county_behavioral_health_contract", "classification": "medium", "evidenceSourceIds": [ "fresno_county_central_star_2024", "fresno_county_central_star_2025", "fresno_county_central_star_2026_crt", "hcai_central_star_open_2026" ], "note": "Fresno County materials support Central Star youth PHF/CRT contractor relationships with relocation/contract nuance" } ], "importantLinks": [ { "label": "Central Star Psychiatric Health Facility profile", "url": "https://hcai.ca.gov/facility/central-star-psychiatric-health-facility/", "sourceId": "hcai_central_star_open_2026", "note": "HCAI lists Central Star Psychiatric Health Facility at 4411 E Kings Canyon Road as an open 16-bed psychiatric health facility. Limit: Does not reconcile Fresno County relocation materials or identify ultimate ownership. Hospital profile lines" }, { "label": "Fresno County File 24-1280", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=2F84CD5B-EF44-4BAB-B64A-CE483EA27093&ID=7040902", "sourceId": "fresno_county_central_star_2024", "note": "County item modified Central Star adolescent PHF location from 4411 E Kings Canyon to 3115 N Millbrook and facility-use agreement through 2025-06-30. Limit: Does not show the later extension alone. Lines 40-42 and 73-77 from web capture" }, { "label": "Fresno County meeting item 25-0467", "url": "https://fresnocounty.legistar.com/MeetingDetail.aspx?GUID=84521834-F2FA-4FA6-A471-5D9A1AF36DB6&ID=1229716&Options=&Search=", "sourceId": "fresno_county_central_star_2025", "note": "County extended Central Star adolescent youth PHF agreement and leased-space use from 2025-07-01 through 2026-06-30, increasing maximum compensation to 36,224,407 dollars. Limit: Does not prove current HCAI license location. Lines 123-126 from web capture" }, { "label": "Agreement with Central Star Behavioral Health Inc. for Crisis Residential Treatment Services", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?FullText=1&GUID=69F0201E-3372-4842-8A48-E7DF7919102A&ID=7867452&Options=&Search=", "sourceId": "fresno_county_central_star_2026_crt", "note": "Fresno County approved Central Star Behavioral Health to provide crisis residential treatment services at 496 S Barton from 2026-03-01 through 2030-06-30, maximum $14,734,783. Limit: This is a CRT contract, not the youth PHF contract; it does not prove ownership of the psychiatric hospital row. Recommended action, report, and fiscal impact lines" }, { "label": "Fresno County System of Care", "url": "https://www.fresnocountyca.gov/Departments/Behavioral-Health/Providers/System-of-Care", "sourceId": "fresno_system_of_care", "note": "County system map lists Central Star for youth PHF and Exodus for adult PHF/crisis stabilization services. Limit: Does not disclose contract dollar values or license ownership. Lines 425-461 from web capture" }, { "label": "Central Star Behavioral Health", "url": "https://www.starsinc.com/fresno-county/central-star-behavioral-health/", "sourceId": "stars_central_star", "note": "Stars Behavioral Health Group publishes Central Star Fresno programs including youth PHF/CRT links. Limit: Does not provide Fresno County contract terms. Jina reader page navigation/content" } ], "descriptiveTrends": [], "systemConnections": [ { "systemName": "fresno county", "relationship": "county_behavioral_health_contract", "evidenceSourceIds": [ "fresno_county_central_star_2024", "fresno_county_central_star_2025", "fresno_county_central_star_2026_crt", "hcai_central_star_open_2026" ], "facilities": [ { "name": "CENTRAL STAR PSYCHIATRIC HEALTH FACILITY FRESNO", "role": "Fresno County materials support Central Star youth PHF/CRT contractor relationships with relocation/contract nuance", "city": "FRESNO", "state": "CA", "recordId": "0176593702", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] } ], "directConnections": [ "Central Star Behavioral Health Inc / Stars Behavioral Health Group service provider", "Fresno County materials show adolescent youth PHF agreement relocated from 4411 E. Kings Canyon Road to 3115 N. Millbrook and extended through 2026-06-30; County system map lists Central Star for youth PHF", "Fresno County materials support Central Star youth PHF/CRT contractor relationships with relocation/contract nuance" ], "actions": [ "2024-12-03: County item modified Central Star adolescent PHF location from Kings Canyon to 3115 N Millbrook.", "2026-02-10: County approved Central Star CRT agreement at 496 S Barton from 2026-03-01 through 2030-06-30." ], "contradictions": [ { "topic": "HCAI lists Central Star PHF open at 4411 E Kings Canyon; Fresno County materials identify youth PHF relocation to 3115 N Millbrook and separate 2026 CRT contract at 496 S Barton.", "claim_a": "HCAI lists Central Star PHF open at 4411 E Kings Canyon; Fresno County materials identify youth PHF relocation to 3115 N Millbrook and separate 2026 CRT contract at 496 S Barton.", "claim_b": "Sources: hcai_central_star_open_2026|fresno_county_central_star_2024|fresno_county_central_star_2026_crt", "resolution_status": "Treat as active contractor/program ambiguity, not proof of ownership change." } ], "limitations": [ "Project row address may be stale or confused with Exodus/County site; exact current license record needs verification", "Potential stale address/program conflation across PHF and CRT records requires state/county reconciliation.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "unavailableFields": [ "Project row address may be stale or confused with Exodus/County site; exact current license record needs verification", "Potential stale address/program conflation across PHF and CRT records requires state/county reconciliation.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "sources": [ { "source_id": "hcai_central_star_open_2026", "title": "Central Star Psychiatric Health Facility profile", "publisher": "HCAI", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://hcai.ca.gov/facility/central-star-psychiatric-health-facility/", "reliability_tier": "high", "research_note": "HCAI lists Central Star Psychiatric Health Facility at 4411 E Kings Canyon Road as an open 16-bed psychiatric health facility. Limit: Does not reconcile Fresno County relocation materials or identify ultimate ownership. Hospital profile lines" }, { "source_id": "fresno_county_central_star_2024", "title": "Fresno County File 24-1280", "publisher": "Fresno County Board of Supervisors", "publication_date": "2024-12-03", "retrieved_at": "2026-07-04", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=2F84CD5B-EF44-4BAB-B64A-CE483EA27093&ID=7040902", "reliability_tier": "high", "research_note": "County item modified Central Star adolescent PHF location from 4411 E Kings Canyon to 3115 N Millbrook and facility-use agreement through 2025-06-30. Limit: Does not show the later extension alone. Lines 40-42 and 73-77 from web capture" }, { "source_id": "fresno_county_central_star_2025", "title": "Fresno County meeting item 25-0467", "publisher": "Fresno County Board of Supervisors", "publication_date": "2025-06-24", "retrieved_at": "2026-07-04", "url": "https://fresnocounty.legistar.com/MeetingDetail.aspx?GUID=84521834-F2FA-4FA6-A471-5D9A1AF36DB6&ID=1229716&Options=&Search=", "reliability_tier": "high", "research_note": "County extended Central Star adolescent youth PHF agreement and leased-space use from 2025-07-01 through 2026-06-30, increasing maximum compensation to 36,224,407 dollars. Limit: Does not prove current HCAI license location. Lines 123-126 from web capture" }, { "source_id": "fresno_county_central_star_2026_crt", "title": "Agreement with Central Star Behavioral Health Inc. for Crisis Residential Treatment Services", "publisher": "Fresno County Board of Supervisors", "publication_date": "2026-02-10", "retrieved_at": "2026-07-04", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?FullText=1&GUID=69F0201E-3372-4842-8A48-E7DF7919102A&ID=7867452&Options=&Search=", "reliability_tier": "high", "research_note": "Fresno County approved Central Star Behavioral Health to provide crisis residential treatment services at 496 S Barton from 2026-03-01 through 2030-06-30, maximum $14,734,783. Limit: This is a CRT contract, not the youth PHF contract; it does not prove ownership of the psychiatric hospital row. Recommended action, report, and fiscal impact lines" }, { "source_id": "fresno_system_of_care", "title": "Fresno County System of Care", "publisher": "Fresno County Department of Behavioral Health", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.fresnocountyca.gov/Departments/Behavioral-Health/Providers/System-of-Care", "reliability_tier": "high", "research_note": "County system map lists Central Star for youth PHF and Exodus for adult PHF/crisis stabilization services. Limit: Does not disclose contract dollar values or license ownership. Lines 425-461 from web capture" }, { "source_id": "stars_central_star", "title": "Central Star Behavioral Health", "publisher": "Stars Behavioral Health Group", "publication_date": "2016-02-10", "retrieved_at": "2026-07-04", "url": "https://www.starsinc.com/fresno-county/central-star-behavioral-health/", "reliability_tier": "medium", "research_note": "Stars Behavioral Health Group publishes Central Star Fresno programs including youth PHF/CRT links. Limit: Does not provide Fresno County contract terms. Jina reader page navigation/content" } ] }