{
  "schemaVersion": 4,
  "entityId": "0196785408",
  "canonicalName": "COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER",
  "status": "unknown",
  "statusLabel": "Unresolved after source-family review",
  "summary": "Community Subacute and Transitional Care Center was reviewed in the Fresno custom NEXT-style batch. HCAI lists Community Subacute as a distinct part facility consolidated with Community Regional; Community Medical publishes it as a system location. 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": 3,
    "ownership_source_count": 3,
    "identity_match_method": "Entity ID 0196785408; no public CCN confirmed in batch",
    "publication_decision": "Link to Community Regional family; do not leave as unknown if consolidated relationship is accepted after validation",
    "batch_id": "next-50-2026-07-04-fresno-city-001"
  },
  "firstGlance": {
    "taxOwnershipType": "Nonprofit",
    "operator": "Community Medical Centers",
    "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": "GENERAL ACUTE CARE",
    "currentCeo": "Leadership research pending",
    "previousRelevantCeo": "Not identified in this Fresno batch",
    "operatorType": "Health system distinct part facility",
    "operatorName": "Community Medical Centers",
    "parentSystem": "Community Medical Centers",
    "affiliatedSystem": "Community Medical Centers",
    "religiousAffiliation": "Secular/no evidence",
    "confidence": "medium",
    "evidenceAsOf": "2026-07-04",
    "bottomLine": "HCAI lists Community Subacute as a distinct part facility consolidated with Community Regional; Community Medical publishes it as a system location."
  },
  "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": "GENERAL ACUTE CARE",
    "publicFacingCaveat": "Need public data entity relationship update and source-backed NPI/CCN crosswalk"
  },
  "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-community-subacute",
      "relationship_type": "distinct_part_consolidated_family",
      "effective_date": "2026-07-04",
      "end_date": "",
      "status": "current_or_contextual",
      "source_ids": "hcai_subacute|community_subacute_page",
      "plain_english_summary": "Community Subacute is HCAI distinct part facility consolidated with Community Regional"
    }
  ],
  "acquisitionEvents": [],
  "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": "0196785408",
        "label": "COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER",
        "kind": "hospital",
        "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001."
      },
      {
        "id": "050060",
        "label": "050060",
        "kind": "organization",
        "evidence": "Community Subacute is HCAI distinct part facility consolidated with Community Regional"
      }
    ],
    "edges": [
      {
        "id": "rel-community-subacute",
        "from": "0196785408",
        "to": "050060",
        "relationship": "distinct_part_consolidated_family",
        "confidence": "high",
        "sourceIds": [
          "hcai_subacute",
          "community_subacute_page"
        ],
        "note": "Relationship edge is source-backed but public display still requires validation/approval."
      }
    ],
    "caveats": [
      "Need public data entity relationship update and source-backed NPI/CCN crosswalk",
      "Needs public data relationship update and CCN/NPI crosswalk.",
      "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": "050060",
      "entityKind": "organization",
      "relationship": "distinct_part_consolidated_family",
      "classification": "high",
      "evidenceSourceIds": [
        "hcai_subacute",
        "community_subacute_page"
      ],
      "note": "Community Subacute is HCAI distinct part facility consolidated with Community Regional"
    }
  ],
  "importantLinks": [
    {
      "label": "Community Subacute and Transitional Care Center profile",
      "url": "https://hcai.ca.gov/facility/community-subacute-and-transitional-care-center/",
      "sourceId": "hcai_subacute",
      "note": "Community Subacute is open, licensed as a distinct part facility with 106 beds, consolidated with Community Regional. Limit: Does not identify all operating agreements. Hospital profile lines 203-217"
    },
    {
      "label": "Community Subacute and Transitional Care Center",
      "url": "https://www.communitymedical.org/locations/community-subacute-transitional-care-center",
      "sourceId": "community_subacute_page",
      "note": "Community Medical publishes Community Subacute as a Community Medical Centers location. Limit: Does not show all operating contracts. Jina reader title/navigation"
    },
    {
      "label": "Community Medical Centers locations navigation",
      "url": "https://www.communitymedical.org/locations/community-regional-medical-center",
      "sourceId": "community_locations_nav",
      "note": "Community Medical location navigation lists Community Regional, Fresno Heart & Surgical, Community Behavioral, and Community Subacute within the Community Medical Centers location family. Limit: Does not prove CMS ownership by itself. Jina reader locations navigation"
    }
  ],
  "descriptiveTrends": [],
  "systemConnections": [
    {
      "systemName": "050060",
      "relationship": "distinct_part_consolidated_family",
      "evidenceSourceIds": [
        "hcai_subacute",
        "community_subacute_page"
      ],
      "facilities": [
        {
          "name": "COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER",
          "role": "Community Subacute is HCAI distinct part facility consolidated with Community Regional",
          "city": "FRESNO",
          "state": "CA",
          "recordId": "0196785408",
          "note": "Relationship edge is source-backed but public display still requires validation/approval."
        }
      ]
    }
  ],
  "directConnections": [
    "Community Medical Centers / Community Regional distinct-part facility family per HCAI",
    "HCAI lists distinct part facility with 106 licensed beds and consolidated reporting with Community Regional; Community Medical page describes inpatient subacute care",
    "Community Subacute is HCAI distinct part facility consolidated with Community Regional"
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "Need public data entity relationship update and source-backed NPI/CCN crosswalk",
    "Needs public data relationship update and CCN/NPI crosswalk.",
    "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": [
    "Need public data entity relationship update and source-backed NPI/CCN crosswalk",
    "Needs public data relationship update and CCN/NPI crosswalk.",
    "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_subacute",
      "title": "Community Subacute and Transitional Care Center profile",
      "publisher": "HCAI",
      "publication_date": "2026",
      "retrieved_at": "2026-07-04",
      "url": "https://hcai.ca.gov/facility/community-subacute-and-transitional-care-center/",
      "reliability_tier": "high",
      "research_note": "Community Subacute is open, licensed as a distinct part facility with 106 beds, consolidated with Community Regional. Limit: Does not identify all operating agreements. Hospital profile lines 203-217"
    },
    {
      "source_id": "community_subacute_page",
      "title": "Community Subacute and Transitional Care Center",
      "publisher": "Community Medical Centers",
      "publication_date": "2026",
      "retrieved_at": "2026-07-04",
      "url": "https://www.communitymedical.org/locations/community-subacute-transitional-care-center",
      "reliability_tier": "high",
      "research_note": "Community Medical publishes Community Subacute as a Community Medical Centers location. Limit: Does not show all operating contracts. Jina reader title/navigation"
    },
    {
      "source_id": "community_locations_nav",
      "title": "Community Medical Centers locations navigation",
      "publisher": "Community Medical Centers",
      "publication_date": "2026",
      "retrieved_at": "2026-07-04",
      "url": "https://www.communitymedical.org/locations/community-regional-medical-center",
      "reliability_tier": "high",
      "research_note": "Community Medical location navigation lists Community Regional, Fresno Heart & Surgical, Community Behavioral, and Community Subacute within the Community Medical Centers location family. Limit: Does not prove CMS ownership by itself. Jina reader locations navigation"
    }
  ]
}