Laguna Honda Hospital & Rehabilitation Ctr D/p Snf - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
555020
Provider Name
LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF
Provider Address
375 LAGUNA HONDA BLVD.
SAN FRANCISCO, CA 94116
SAN FRANCISCO, CA 94116
Provider Phone Number
4157592300
Provider SSA County
480
Provider County Name
San Francisco
Ownership Type
Government - City/county
Number of Certified Beds
769
Number of Residents in Certified Beds
748
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CITY & COUNTY OF SAN FRANCISCO
Date First Approved to Provide Medicare and Medicaid services
1976-07-09
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
2
Health Inspection Rating Footnote
QM Rating
5
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
3.50461
Reported LPN Staffing Hours per Resident per Day
0.69672
Reported RN Staffing Hours per Resident per Day
1.51337
Reported Licensed Staffing Hours per Resident per Day
2.21009
Reported Total Nurse Staffing Hours per Resident per Day
5.71470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05729
Expected CNA Staffing Hours per Resident per Day
2.32643
Expected LPN Staffing Hours per Resident per Day
0.60354
Expected RN Staffing Hours per Resident per Day
0.88970
Expected Total Nurse Staffing Hours per Resident per Day
3.81967
Adjusted CNA Staffing Hours per Resident per Day
3.69633
Adjusted LPN Staffing Hours per Resident per Day
0.95814
Adjusted RN Staffing Hours per Resident per Day
1.27098
Adjusted Total Nurse Staffing Hours per Resident per Day
6.03072
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-16
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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
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