Linda Mar Care Center - Pacifica Nursing Home
General Information
UPDATEFederal Provider Number
55116
Provider Name
LINDA MAR CARE CENTER
Provider Address
751 SAN PEDRO TERRACE ROAD
PACIFICA, CA 94044
PACIFICA, CA 94044
Provider Phone Number
(650) 359-4800
Provider SSA County
41
Provider County Name
San Mateo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFICA LINDA MAR INC.
Date First Approved to Provide Medicare and Medicaid services
1972-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.18587
Reported LPN Staffing Hours per Resident per Day
1.73152
Reported RN Staffing Hours per Resident per Day
1.87065
Reported Licensed Staffing Hours per Resident per Day
3.60217
Reported Total Nurse Staffing Hours per Resident per Day
5.78804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.49565
Expected CNA Staffing Hours per Resident per Day
2.62946
Expected LPN Staffing Hours per Resident per Day
0.72954
Expected RN Staffing Hours per Resident per Day
1.38756
Expected Total Nurse Staffing Hours per Resident per Day
4.74656
Adjusted CNA Staffing Hours per Resident per Day
2.03976
Adjusted LPN Staffing Hours per Resident per Day
1.96996
Adjusted RN Staffing Hours per Resident per Day
1.00735
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91535
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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