California Pacific Medical Ctr - St. Luke's Campus - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
555243
Provider Name
CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS
Provider Address
3555 CESAR CHAVEZ STREET
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
Provider Phone Number
4156478600
Provider SSA County
480
Provider County Name
San Francisco
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SUTTER WEST BAY HOSPITALS
Date First Approved to Provide Medicare and Medicaid services
1986-06-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92875
Reported LPN Staffing Hours per Resident per Day
2.17875
Reported RN Staffing Hours per Resident per Day
2.86750
Reported Licensed Staffing Hours per Resident per Day
5.04625
Reported Total Nurse Staffing Hours per Resident per Day
7.97500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32125
Expected CNA Staffing Hours per Resident per Day
2.80274
Expected LPN Staffing Hours per Resident per Day
1.39858
Expected RN Staffing Hours per Resident per Day
2.01495
Expected Total Nurse Staffing Hours per Resident per Day
6.21628
Adjusted CNA Staffing Hours per Resident per Day
2.56402
Adjusted LPN Staffing Hours per Resident per Day
1.29299
Adjusted RN Staffing Hours per Resident per Day
1.06335
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17133
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Sheffield Convalescent Hospital
1133 South Van Ness Avenue |
SAN FRANCISCO CA 94110 | 0.6 mile away
San Francisco General Hospital D/p Snf
1001 Potrero Avenue |
SAN FRANCISCO CA 94110 | 1.1 miles away
Jewish Home D/p Snf
302 Silver Ave |
SAN FRANCISCO CA 94112 | 1.5 miles away
California Pacific Medical Ctr- Davies Campus Hosp
601 Duboce Ave |
SAN FRANCISCO CA 94117 | 1.6 miles away
Laguna Honda Hospital & Rehabilitation Ctr D/p Snf
375 Laguna Honda Blvd. |
SAN FRANCISCO CA 94116 | 2.1 miles away
Hayes Convalescent Hospital
1250 Hayes Street |
SAN FRANCISCO CA 94117 | 2.1 miles away
San Francisco Health Care
1477 Grove Street |
SAN FRANCISCO CA 94117 | 2.2 miles away
Central Gardens
1355 Ellis Street |
SAN FRANCISCO CA 94115 | 2.5 miles away
Kindred Transitional Care & Rehabilitation-lawton
1575 7th Avenue |
SAN FRANCISCO CA 94122 | 2.5 miles away
St Mary's Medical Center D/p Snf
450 Stanyan Street |
SAN FRANCISCO CA 94117 | 2.6 miles away
Sequoias San Francisco Convalescent Hospital
1400 Geary Blvd |
SAN FRANCISCO CA 94109 | 2.6 miles away
Kindred Nursing And Healthcare-victorian
2121 Pine Street |
SAN FRANCISCO CA 94115 | 2.8 miles away
San Francisco Towers
1661 Pine Street |
SAN FRANCISCO CA 94109 | 2.9 miles away
Kindred Transitional Care And Rehab-tunnell Center
1359 Pine Street |
SAN FRANCISCO CA 94109 | 2.9 miles away
Kindred Nursing And Rehabilitation-golden Gate
2707 Pine Street |
SAN FRANCISCO CA 94115 | 2.9 miles away
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