Kindred Nursing And Transitional Care-south Marin - Greenbrae Nursing Home
General Information
UPDATEFederal Provider Number
55093
Provider Name
KINDRED NURSING AND TRANSITIONAL CARE-SOUTH MARIN
Provider Address
1220 SOUTH ELISEO DRIVE
GREENBRAE, CA 94904
GREENBRAE, CA 94904
Provider Phone Number
(415) 461-9700
Provider SSA County
310
Provider County Name
Marin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
53
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GREENBRAE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-03-20
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
3
Health Inspection Rating Footnote
QM Rating
4
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
1.98491
Reported LPN Staffing Hours per Resident per Day
0.76698
Reported RN Staffing Hours per Resident per Day
0.70943
Reported Licensed Staffing Hours per Resident per Day
1.47642
Reported Total Nurse Staffing Hours per Resident per Day
3.46132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34245
Expected CNA Staffing Hours per Resident per Day
2.31613
Expected LPN Staffing Hours per Resident per Day
0.66484
Expected RN Staffing Hours per Resident per Day
1.30513
Expected Total Nurse Staffing Hours per Resident per Day
4.28609
Adjusted CNA Staffing Hours per Resident per Day
2.10281
Adjusted LPN Staffing Hours per Resident per Day
0.95751
Adjusted RN Staffing Hours per Resident per Day
0.40616
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25523
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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