Sheffield Convalescent Hospital - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
555834
Provider Name
SHEFFIELD CONVALESCENT HOSPITAL
Provider Address
1133 SOUTH VAN NESS AVENUE
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
Provider Phone Number
(415) 647-3117
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
32
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2006-08-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.70625
Reported LPN Staffing Hours per Resident per Day
0.62500
Reported RN Staffing Hours per Resident per Day
0.51875
Reported Licensed Staffing Hours per Resident per Day
1.14375
Reported Total Nurse Staffing Hours per Resident per Day
3.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00156
Expected CNA Staffing Hours per Resident per Day
2.87161
Expected LPN Staffing Hours per Resident per Day
0.56706
Expected RN Staffing Hours per Resident per Day
0.71317
Expected Total Nurse Staffing Hours per Resident per Day
4.15183
Adjusted CNA Staffing Hours per Resident per Day
2.31240
Adjusted LPN Staffing Hours per Resident per Day
0.91481
Adjusted RN Staffing Hours per Resident per Day
0.54351
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73786
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-01
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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