Kindred Nursing And Healthcare-victorian - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
55848
Provider Name
KINDRED NURSING AND HEALTHCARE-VICTORIAN
Provider Address
2121 PINE STREET
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Provider Phone Number
(415) 922-5085
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1967-10-31
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53333
Reported LPN Staffing Hours per Resident per Day
0.36278
Reported RN Staffing Hours per Resident per Day
0.68167
Reported Licensed Staffing Hours per Resident per Day
1.04444
Reported Total Nurse Staffing Hours per Resident per Day
3.57778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.50776
Expected LPN Staffing Hours per Resident per Day
0.60378
Expected RN Staffing Hours per Resident per Day
0.88554
Expected Total Nurse Staffing Hours per Resident per Day
3.99708
Adjusted CNA Staffing Hours per Resident per Day
2.47872
Adjusted LPN Staffing Hours per Resident per Day
0.49871
Adjusted RN Staffing Hours per Resident per Day
0.57518
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60805
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
40
Cycle 1 Standard Survey Health Date
2014-06-02
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
32
Cycle 3 Standard Health Survey Date
2012-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
33.33300
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
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