A & C Convalescent Hospital Of Millbrae - Millbrae Nursing Home
General Information
UPDATEFederal Provider Number
56122
Provider Name
A & C CONVALESCENT HOSPITAL OF MILLBRAE
Provider Address
33 MATEO AVENUE
MILLBRAE, CA 94030
MILLBRAE, CA 94030
Provider Phone Number
6506895784
Provider SSA County
510
Provider County Name
San Mateo
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1969-10-24
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60039
Reported LPN Staffing Hours per Resident per Day
0.42383
Reported RN Staffing Hours per Resident per Day
0.62930
Reported Licensed Staffing Hours per Resident per Day
1.05313
Reported Total Nurse Staffing Hours per Resident per Day
3.65352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03555
Expected CNA Staffing Hours per Resident per Day
2.36998
Expected LPN Staffing Hours per Resident per Day
0.56887
Expected RN Staffing Hours per Resident per Day
0.85061
Expected Total Nurse Staffing Hours per Resident per Day
3.78947
Adjusted CNA Staffing Hours per Resident per Day
2.69224
Adjusted LPN Staffing Hours per Resident per Day
0.61838
Adjusted RN Staffing Hours per Resident per Day
0.55279
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88629
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-04-12
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
36
Cycle 3 Standard Health Survey Date
2012-02-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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
Mills-peninsula Skilled Nursing
1609 Trousdale Drive |
BURLINGAME CA 94010 | 1 mile away
San Bruno Skilled Nursing Hospital
890 El Camino Real |
SAN BRUNO CA 94066 | 2.1 miles away
Linda Mar Care Center
751 San Pedro Terrace Road |
PACIFICA CA 94044 | 6 miles away
Pacifica Nursing And Rehab Center
385 Esplanade Avenue |
PACIFICA CA 94044 | 6.2 miles away
Brookside Skilled Nursing Hospital
2620 Flores Street |
SAN MATEO CA 94403 | 6.5 miles away
St. Francis Convalescent Pavilion
99 Escuela Drive |
DALY CITY CA 94015 | 6.6 miles away
St. Francis Heights Convalescent Hospital
35 Escuela Drive |
DALY CITY CA 94015 | 6.6 miles away
Seton Medical Center D/p Snf
1900 Sullivan Avenue |
DALY CITY CA 94015 | 6.8 miles away
San Mateo Medical Center D/p Snf
222 West 39th Avenue |
SAN MATEO CA 94403 | 7.3 miles away
Carlmont Gardens Nursing Center
2140 Carlmont Drive |
BELMONT CA 94002 | 8.6 miles away
Devonshire Oaks Nursing Center
3635 Jefferson Avenue |
REDWOOD CITY CA 94062 | 12.5 miles away
Atherton Healthcare
1275 Crane Street |
MENLO PARK CA 94025 | 15.5 miles away
Sequoias, The
501 Portola Road |
PORTOLA VALLEY CA 94028 | 18.7 miles away
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