Overall Rating
Address
2121 Pine Street
San Francisco, CA 94115
Contact
4159225085
Certification Date
1967-10-31
CMS Certification Number
055848
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
90
Average Number of Residents per Day
82.6
Provider Type
Medicare and Medicaid
Legal Business Name
GOLDEN GATEIDENCE OPCO LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
2
Quality Measure Rating
5
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.25398
Reported LPN Staffing Hours per Resident per Day
0.72411
Reported RN Staffing Hours per Resident per Day
0.57831
Reported Total Nurse Staffing Hours per Resident per Day
3.55639
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.34081
Registered Nurse Hours per Resident per Day on the Weekend
0.42004
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12052
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
110.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-04-21
Total Number of Health Deficiencies
20
Number of Standard Health Deficiencies
20
Number of Complaint Health Deficiencies
1
Health Deficiency Score
128
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
128
Standard Health Survey Date
2019-08-23
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
0
Health Deficiency Score
112
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
112
Standard Health Survey Date
2018-08-31
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
4
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Number of Fines
1
Total Amount of Fines in Dollars
36773.75
Number of Payment Denials
0
Total Number of Penalties
1