Kindred Nursing And Rehabilitation-nineteenth Ave - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
55963
Provider Name
KINDRED NURSING AND REHABILITATION-NINETEENTH AVE
Provider Address
2043 19TH AVENUE
SAN FRANCISCO, CA 94116
SAN FRANCISCO, CA 94116
Provider Phone Number
4156618787
Provider SSA County
480
Provider County Name
San Francisco
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLHAVEN - MSC PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1974-03-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37662
Reported LPN Staffing Hours per Resident per Day
0.56403
Reported RN Staffing Hours per Resident per Day
0.46906
Reported Licensed Staffing Hours per Resident per Day
1.03309
Reported Total Nurse Staffing Hours per Resident per Day
3.40971
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01079
Expected CNA Staffing Hours per Resident per Day
2.53752
Expected LPN Staffing Hours per Resident per Day
0.58923
Expected RN Staffing Hours per Resident per Day
0.85952
Expected Total Nurse Staffing Hours per Resident per Day
3.98627
Adjusted CNA Staffing Hours per Resident per Day
2.29812
Adjusted LPN Staffing Hours per Resident per Day
0.79450
Adjusted RN Staffing Hours per Resident per Day
0.40776
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44789
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-25
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
2
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
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Hayes Convalescent Hospital
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