San Mateo Medical Center D/p Snf - San Mateo Nursing Home
General Information
UPDATEFederal Provider Number
555034
Provider Name
SAN MATEO MEDICAL CENTER D/P SNF
Provider Address
222 WEST 39TH AVENUE
SAN MATEO, CA 94403
SAN MATEO, CA 94403
Provider Phone Number
6505733678
Provider SSA County
510
Provider County Name
San Mateo
Ownership Type
Government - County
Number of Certified Beds
313
Number of Residents in Certified Beds
300
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COUNTY OF SAN MATEO
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.26633
Reported LPN Staffing Hours per Resident per Day
0.88983
Reported RN Staffing Hours per Resident per Day
0.75800
Reported Licensed Staffing Hours per Resident per Day
1.64783
Reported Total Nurse Staffing Hours per Resident per Day
3.91416
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08767
Expected CNA Staffing Hours per Resident per Day
2.22902
Expected LPN Staffing Hours per Resident per Day
0.59451
Expected RN Staffing Hours per Resident per Day
0.89523
Expected Total Nurse Staffing Hours per Resident per Day
3.71875
Adjusted CNA Staffing Hours per Resident per Day
2.49477
Adjusted LPN Staffing Hours per Resident per Day
1.24231
Adjusted RN Staffing Hours per Resident per Day
0.63266
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24271
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
111.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
6
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
Nursiong Homes Nearby
Brookside Skilled Nursing Hospital
2620 Flores Street |
SAN MATEO CA 94403 | 0.9 mile away
Carlmont Gardens Nursing Center
2140 Carlmont Drive |
BELMONT CA 94002 | 1.5 miles away
Devonshire Oaks Nursing Center
3635 Jefferson Avenue |
REDWOOD CITY CA 94062 | 5.3 miles away
Mills-peninsula Skilled Nursing
1609 Trousdale Drive |
BURLINGAME CA 94010 | 6.3 miles away
A & C Convalescent Hospital Of Millbrae
33 Mateo Avenue |
MILLBRAE CA 94030 | 7.3 miles away
Atherton Healthcare
1275 Crane Street |
MENLO PARK CA 94025 | 8.2 miles away
San Bruno Skilled Nursing Hospital
890 El Camino Real |
SAN BRUNO CA 94066 | 9.4 miles away
Linda Mar Care Center
751 San Pedro Terrace Road |
PACIFICA CA 94044 | 11.8 miles away
Sequoias, The
501 Portola Road |
PORTOLA VALLEY CA 94028 | 11.8 miles away
Pacifica Nursing And Rehab Center
385 Esplanade Avenue |
PACIFICA CA 94044 | 13.4 miles away
St. Francis Convalescent Pavilion
99 Escuela Drive |
DALY CITY CA 94015 | 13.9 miles away
St. Francis Heights Convalescent Hospital
35 Escuela Drive |
DALY CITY CA 94015 | 13.9 miles away
Seton Medical Center D/p Snf
1900 Sullivan Avenue |
DALY CITY CA 94015 | 14 miles away
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