San Francisco Nursing Center - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
56449
Provider Name
SAN FRANCISCO NURSING CENTER
Provider Address
5767 MISSION STREET
SAN FRANCISCO, CA 94112
SAN FRANCISCO, CA 94112
Provider Phone Number
(415) 584-3294
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONVALESCENT CENTER MISSION ST. INC.
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51250
Reported LPN Staffing Hours per Resident per Day
0.67308
Reported RN Staffing Hours per Resident per Day
0.70096
Reported Licensed Staffing Hours per Resident per Day
1.37404
Reported Total Nurse Staffing Hours per Resident per Day
3.88654
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13173
Expected CNA Staffing Hours per Resident per Day
2.53222
Expected LPN Staffing Hours per Resident per Day
0.65729
Expected RN Staffing Hours per Resident per Day
1.00285
Expected Total Nurse Staffing Hours per Resident per Day
4.19236
Adjusted CNA Staffing Hours per Resident per Day
2.43459
Adjusted LPN Staffing Hours per Resident per Day
0.84994
Adjusted RN Staffing Hours per Resident per Day
0.52227
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73686
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
32
Cycle 1 Standard Survey Health Date
2014-02-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-26
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
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
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.00000
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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