Kindred Transitional Care And Rehab - Smith Ranch - San Rafael Nursing Home
General Information
UPDATEFederal Provider Number
555595
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB - SMITH RANCH
Provider Address
1550 SILVEIRA PARKWAY
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
Provider Phone Number
(415) 499-1000
Provider SSA County
310
Provider County Name
Marin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
38
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SMITH RANCH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.08026
Reported LPN Staffing Hours per Resident per Day
1.02500
Reported RN Staffing Hours per Resident per Day
2.08026
Reported Licensed Staffing Hours per Resident per Day
3.10526
Reported Total Nurse Staffing Hours per Resident per Day
6.18552
Reported Physical Therapist Staffing Hours per Resident Per Day
0.95526
Expected CNA Staffing Hours per Resident per Day
2.19130
Expected LPN Staffing Hours per Resident per Day
0.66588
Expected RN Staffing Hours per Resident per Day
1.49560
Expected Total Nurse Staffing Hours per Resident per Day
4.35278
Adjusted CNA Staffing Hours per Resident per Day
3.44910
Adjusted LPN Staffing Hours per Resident per Day
1.27764
Adjusted RN Staffing Hours per Resident per Day
1.03930
Adjusted Total Nurse Staffing Hours per Resident per Day
5.72812
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
24
Cycle 2 Standard Health Survey Date
2013-09-13
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.00000
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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