Kindred Nursing And Rehabilitation-golden Gate - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
56176
Provider Name
KINDRED NURSING AND REHABILITATION-GOLDEN GATE
Provider Address
2707 PINE STREET
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Provider Phone Number
(415) 563-7600
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
119
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
1974-03-29
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.53193
Reported LPN Staffing Hours per Resident per Day
0.54244
Reported RN Staffing Hours per Resident per Day
0.50042
Reported Licensed Staffing Hours per Resident per Day
1.04286
Reported Total Nurse Staffing Hours per Resident per Day
3.57479
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04790
Expected CNA Staffing Hours per Resident per Day
2.38925
Expected LPN Staffing Hours per Resident per Day
0.56684
Expected RN Staffing Hours per Resident per Day
0.85659
Expected Total Nurse Staffing Hours per Resident per Day
3.81269
Adjusted CNA Staffing Hours per Resident per Day
2.60023
Adjusted LPN Staffing Hours per Resident per Day
0.79427
Adjusted RN Staffing Hours per Resident per Day
0.43651
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77939
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
102
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
73.00000
Number of Facility Reported Incidents
1
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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