The Tamalpais - Greenbrae Nursing Home
General Information
UPDATEFederal Provider Number
56077
Provider Name
THE TAMALPAIS
Provider Address
501 VIA CASITAS
GREENBRAE, CA 94904
GREENBRAE, CA 94904
Provider Phone Number
(415) 461-2300
Provider SSA County
310
Provider County Name
Marin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
52
Number of Residents in Certified Beds
41
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
NORTHERN CALIFORNIA PRESBYTERIAN HOMES AND SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1969-06-23
Continuing Care Retirement Community
Y
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
Partial
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
5
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
3.40122
Reported LPN Staffing Hours per Resident per Day
0.40122
Reported RN Staffing Hours per Resident per Day
1.46829
Reported Licensed Staffing Hours per Resident per Day
1.86951
Reported Total Nurse Staffing Hours per Resident per Day
5.27073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19390
Expected CNA Staffing Hours per Resident per Day
2.42694
Expected LPN Staffing Hours per Resident per Day
0.55288
Expected RN Staffing Hours per Resident per Day
0.92697
Expected Total Nurse Staffing Hours per Resident per Day
3.90680
Adjusted CNA Staffing Hours per Resident per Day
3.43873
Adjusted LPN Staffing Hours per Resident per Day
0.60232
Adjusted RN Staffing Hours per Resident per Day
1.18354
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43816
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-22
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3575
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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