Hayes Convalescent Hospital - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
05A315
Provider Name
HAYES CONVALESCENT HOSPITAL
Provider Address
1250 HAYES STREET
SAN FRANCISCO, CA 94117
SAN FRANCISCO, CA 94117
Provider Phone Number
(415) 931-8806
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
34
Number of Residents in Certified Beds
32
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96563
Reported LPN Staffing Hours per Resident per Day
0.80625
Reported RN Staffing Hours per Resident per Day
0.25000
Reported Licensed Staffing Hours per Resident per Day
1.05625
Reported Total Nurse Staffing Hours per Resident per Day
4.02188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02031
Expected CNA Staffing Hours per Resident per Day
2.57957
Expected LPN Staffing Hours per Resident per Day
0.49151
Expected RN Staffing Hours per Resident per Day
0.64210
Expected Total Nurse Staffing Hours per Resident per Day
3.71317
Adjusted CNA Staffing Hours per Resident per Day
2.82092
Adjusted LPN Staffing Hours per Resident per Day
1.36151
Adjusted RN Staffing Hours per Resident per Day
0.29092
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36602
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
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
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