Sequoias San Francisco Convalescent Hospital - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
56071
Provider Name
SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL
Provider Address
1400 GEARY BLVD
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
Provider Phone Number
(415) 922-9700
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
46
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
NORTHERN CALIFORNIA PRESBYTERIAN HOMES AND SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1969-06-18
Continuing Care Retirement Community
Y
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
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
3.01522
Reported LPN Staffing Hours per Resident per Day
0.34565
Reported RN Staffing Hours per Resident per Day
1.41957
Reported Licensed Staffing Hours per Resident per Day
1.76522
Reported Total Nurse Staffing Hours per Resident per Day
4.78044
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10870
Expected CNA Staffing Hours per Resident per Day
2.25313
Expected LPN Staffing Hours per Resident per Day
0.55019
Expected RN Staffing Hours per Resident per Day
0.88515
Expected Total Nurse Staffing Hours per Resident per Day
3.68847
Adjusted CNA Staffing Hours per Resident per Day
3.28363
Adjusted LPN Staffing Hours per Resident per Day
0.52144
Adjusted RN Staffing Hours per Resident per Day
1.19833
Adjusted Total Nurse Staffing Hours per Resident per Day
5.22425
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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