St. Francis Heights Convalescent Hospital - Daly City Nursing Home
General Information
UPDATEFederal Provider Number
55968
Provider Name
ST. FRANCIS HEIGHTS CONVALESCENT HOSPITAL
Provider Address
35 ESCUELA DRIVE
DALY CITY, CA 94015
DALY CITY, CA 94015
Provider Phone Number
(650) 755-9515
Provider SSA County
510
Provider County Name
San Mateo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF DALY CITY 102, LLC
Date First Approved to Provide Medicare and Medicaid services
1968-09-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60417
Reported LPN Staffing Hours per Resident per Day
0.57321
Reported RN Staffing Hours per Resident per Day
1.47024
Reported Licensed Staffing Hours per Resident per Day
2.04345
Reported Total Nurse Staffing Hours per Resident per Day
4.64762
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13274
Expected CNA Staffing Hours per Resident per Day
2.66448
Expected LPN Staffing Hours per Resident per Day
0.74348
Expected RN Staffing Hours per Resident per Day
1.28289
Expected Total Nurse Staffing Hours per Resident per Day
4.69084
Adjusted CNA Staffing Hours per Resident per Day
2.39816
Adjusted LPN Staffing Hours per Resident per Day
0.63992
Adjusted RN Staffing Hours per Resident per Day
0.85632
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99376
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
52
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
8
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.66700
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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