Laurel Heights Community Care - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
555869
Provider Name
LAUREL HEIGHTS COMMUNITY CARE
Provider Address
2740 CALIFORNIA ST
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Provider Phone Number
(415) 567-3133
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
27
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-05-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83519
Reported LPN Staffing Hours per Resident per Day
0.97222
Reported RN Staffing Hours per Resident per Day
0.40556
Reported Licensed Staffing Hours per Resident per Day
1.37778
Reported Total Nurse Staffing Hours per Resident per Day
4.21297
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.42220
Expected LPN Staffing Hours per Resident per Day
0.58195
Expected RN Staffing Hours per Resident per Day
0.81174
Expected Total Nurse Staffing Hours per Resident per Day
3.81589
Adjusted CNA Staffing Hours per Resident per Day
2.87206
Adjusted LPN Staffing Hours per Resident per Day
1.38661
Adjusted RN Staffing Hours per Resident per Day
0.37332
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45036
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-28
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
46.66700
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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