Seton Medical Center D/p Snf - Daly City Nursing Home
General Information
UPDATEFederal Provider Number
555235
Provider Name
SETON MEDICAL CENTER D/P SNF
Provider Address
1900 SULLIVAN AVENUE
DALY CITY, CA 94015
DALY CITY, CA 94015
Provider Phone Number
(650) 991-6767
Provider SSA County
510
Provider County Name
San Mateo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SETON MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1986-06-18
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49161
Reported LPN Staffing Hours per Resident per Day
0.94091
Reported RN Staffing Hours per Resident per Day
0.63531
Reported Licensed Staffing Hours per Resident per Day
1.57622
Reported Total Nurse Staffing Hours per Resident per Day
4.06783
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04860
Expected CNA Staffing Hours per Resident per Day
2.50820
Expected LPN Staffing Hours per Resident per Day
0.86325
Expected RN Staffing Hours per Resident per Day
1.22853
Expected Total Nurse Staffing Hours per Resident per Day
4.59998
Adjusted CNA Staffing Hours per Resident per Day
2.43747
Adjusted LPN Staffing Hours per Resident per Day
0.90466
Adjusted RN Staffing Hours per Resident per Day
0.38640
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56458
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-07-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
5
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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