Jewish Home D/p Snf - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
55169
Provider Name
JEWISH HOME D/P SNF
Provider Address
302 SILVER AVE
SAN FRANCISCO, CA 94112
SAN FRANCISCO, CA 94112
Provider Phone Number
(415) 334-2500
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
378
Number of Residents in Certified Beds
351
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HEBREW HOME FOR AGED DISABLED
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.44017
Reported LPN Staffing Hours per Resident per Day
0.22692
Reported RN Staffing Hours per Resident per Day
0.64117
Reported Licensed Staffing Hours per Resident per Day
0.86809
Reported Total Nurse Staffing Hours per Resident per Day
3.30826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08832
Expected CNA Staffing Hours per Resident per Day
2.49353
Expected LPN Staffing Hours per Resident per Day
0.62324
Expected RN Staffing Hours per Resident per Day
0.99234
Expected Total Nurse Staffing Hours per Resident per Day
4.10911
Adjusted CNA Staffing Hours per Resident per Day
2.40119
Adjusted LPN Staffing Hours per Resident per Day
0.30220
Adjusted RN Staffing Hours per Resident per Day
0.48278
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24529
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
36
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
4
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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