St. Pauls Health Care Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
555144
Provider Name
ST. PAULS HEALTH CARE CENTER
Provider Address
235 NUTMEG STREET
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
Provider Phone Number
(619) 239-8687
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST PAUL'S EPISCOPAL HOME INC
Date First Approved to Provide Medicare and Medicaid services
1991-09-25
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57636
Reported LPN Staffing Hours per Resident per Day
0.93545
Reported RN Staffing Hours per Resident per Day
0.20727
Reported Licensed Staffing Hours per Resident per Day
1.14273
Reported Total Nurse Staffing Hours per Resident per Day
3.71908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00818
Expected CNA Staffing Hours per Resident per Day
2.47858
Expected LPN Staffing Hours per Resident per Day
0.54846
Expected RN Staffing Hours per Resident per Day
0.85785
Expected Total Nurse Staffing Hours per Resident per Day
3.88489
Adjusted CNA Staffing Hours per Resident per Day
2.55050
Adjusted LPN Staffing Hours per Resident per Day
1.41565
Adjusted RN Staffing Hours per Resident per Day
0.18053
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85885
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
24
Cycle 1 Standard Survey Health Date
2015-01-22
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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