St. Anne's Home - San Francisco Nursing Home
General Information
UPDATEFederal Provider Number
05A290
Provider Name
ST. ANNE'S HOME
Provider Address
300 LAKE STREET
SAN FRANCISCO, CA 94118
SAN FRANCISCO, CA 94118
Provider Phone Number
(415) 751-6510
Provider SSA County
480
Provider County Name
San Francisco
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
46
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1976-05-03
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.37500
Reported LPN Staffing Hours per Resident per Day
0.83043
Reported RN Staffing Hours per Resident per Day
0.44239
Reported Licensed Staffing Hours per Resident per Day
1.27283
Reported Total Nurse Staffing Hours per Resident per Day
4.64782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00761
Expected CNA Staffing Hours per Resident per Day
2.37836
Expected LPN Staffing Hours per Resident per Day
0.57530
Expected RN Staffing Hours per Resident per Day
0.75353
Expected Total Nurse Staffing Hours per Resident per Day
3.70719
Adjusted CNA Staffing Hours per Resident per Day
3.48191
Adjusted LPN Staffing Hours per Resident per Day
1.19808
Adjusted RN Staffing Hours per Resident per Day
0.43867
Adjusted Total Nurse Staffing Hours per Resident per Day
5.05366
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
48
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
25.33300
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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