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Facility Information

Facility ID: 630011683

Register Complaint

Kaiser Foundation Hospital - Mant

Other previous Names(s) known as:

  • Kaiser Foundation Hospital - Modesto

4601 Dale Rd
Modesto, Ca   95356

County:Stanislaus

Phone:(209) 735-4130

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Sacramento District Office
3901 Lennane Drive, Suite 210
Sacramento, CA. 95834
Phone Number: (916) 263-5800

License Information

Licensee: Kaiser Foundation Hospitals
Accreditation Regulation & Licensing Department
Oakland, Ca 94612

Licensee Type: Nonprofit Corp

License Number: 030000393

License Status: Active

License Category: General Acute Care Hospital

License Effective Date: 5/16/2014

Expiration Date: 10/31/2014

Total License Capacity: 99

Bed Classification/Services:

Other Approved Services:

  • Basic Emergency Medical
  • Mobile Unit - Mri
  • Nuclear Medicine
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Care Services
  • Social Services

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:

Last Certification Inspection Status:

Certification Status:

Approval Date:

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2013

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

29Survey DeficienciesSurvey Deficiencies

Year: 2012

1ComplaintsComplaints

7Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2011

1ComplaintsComplaints

6Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2010

0ComplaintsComplaints

4Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Administration Information

10/1/2008
to Present

Kaiser Foundation Hospitals
Relationship to Facility: Licensee

6/16/2014
to Present

Friberg, Deborah
Relationship to Facility: Administrator

4/20/2009
to Present

Mcfadden, Mary T
Relationship to Facility: Director Of Nursing

Ownership Information

None found

Operating Entities

None found