Professional Post Acute Center - San Rafael Nursing Home
General Information
UPDATEFederal Provider Number
555214
Provider Name
PROFESSIONAL POST ACUTE CENTER
Provider Address
81 PROFESSIONAL CENTER PARKWAY
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
Provider Phone Number
(415) 479-5161
Provider SSA County
310
Provider County Name
Marin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CF SAN RAFAEL, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-12-12
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.54593
Reported LPN Staffing Hours per Resident per Day
0.71919
Reported RN Staffing Hours per Resident per Day
0.43023
Reported Licensed Staffing Hours per Resident per Day
1.14942
Reported Total Nurse Staffing Hours per Resident per Day
3.69535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06919
Expected CNA Staffing Hours per Resident per Day
2.45365
Expected LPN Staffing Hours per Resident per Day
0.68914
Expected RN Staffing Hours per Resident per Day
1.05737
Expected Total Nurse Staffing Hours per Resident per Day
4.20016
Adjusted CNA Staffing Hours per Resident per Day
2.54598
Adjusted LPN Staffing Hours per Resident per Day
0.86619
Adjusted RN Staffing Hours per Resident per Day
0.30403
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54643
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
5
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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