St Francis Extended Care - Hayward Nursing Home

General Information

UPDATE
Federal Provider Number
555418
Provider Name
ST FRANCIS EXTENDED CARE
Provider Address
718 BARTLETT AVE.
HAYWARD, CA 94541
Provider Phone Number
5107853630
Provider SSA County
0
Provider County Name
Alameda
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST FRANCIS EXTENDED CARE INC
Date First Approved to Provide Medicare and Medicaid services
1990-03-29
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65333
Reported LPN Staffing Hours per Resident per Day
0.62083
Reported RN Staffing Hours per Resident per Day
0.69917
Reported Licensed Staffing Hours per Resident per Day
1.32000
Reported Total Nurse Staffing Hours per Resident per Day
3.97333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.48745
Expected LPN Staffing Hours per Resident per Day
0.66990
Expected RN Staffing Hours per Resident per Day
0.89017
Expected Total Nurse Staffing Hours per Resident per Day
4.04752
Adjusted CNA Staffing Hours per Resident per Day
2.61732
Adjusted LPN Staffing Hours per Resident per Day
0.76921
Adjusted RN Staffing Hours per Resident per Day
0.58688
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95702
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-21
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
1
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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