Overall Rating
Address
1359 Pine Street
San Francisco, CA 94109
Contact
4156738405
Certification Date
1971-12-31
CMS Certification Number
056203
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
180
Average Number of Residents per Day
162.8
Provider Type
Medicare and Medicaid
Legal Business Name
PINE STREET SNF, LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.34911
Reported LPN Staffing Hours per Resident per Day
1.09347
Reported RN Staffing Hours per Resident per Day
0.43724
Reported Total Nurse Staffing Hours per Resident per Day
3.87982
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.68033
Registered Nurse Hours per Resident per Day on the Weekend
0.45709
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03494
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
87.333
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
25
Number of Citations from Infection Control Inspections
3
Standard Health Survey Date
2021-10-21
Total Number of Health Deficiencies
18
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
16
Health Deficiency Score
92
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
92
Standard Health Survey Date
2019-04-16
Total Number of Health Deficiencies
18
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
6
Health Deficiency Score
96
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
96
Standard Health Survey Date
2018-05-03
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
5
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Number of Fines
2
Total Amount of Fines in Dollars
12772.50
Number of Payment Denials
0
Total Number of Penalties
2