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HAYES CONVALESCENT HOSPITAL

Overall Rating

Address

1250 Hayes Street

San Francisco, CA 94117

Contact

4159318806

Certification Date

1979-01-01

Details

CMS Certification Number

05A315

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

34

Average Number of Residents per Day

28.5

Provider Type

Medicaid

Legal Business Name

Legal Business Name Not Available

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

5

Quality Measure Rating

3

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.61729

Reported LPN Staffing Hours per Resident per Day

0.77656

Reported RN Staffing Hours per Resident per Day

0.43863

Reported Total Nurse Staffing Hours per Resident per Day

3.83248

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.92528

Registered Nurse Hours per Resident per Day on the Weekend

0.44960

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

32.667

Number of Facility Reported Incidents

3

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-10-12

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

4

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Rating Cycle 2

Standard Health Survey Date

2021-10-21

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 3

Standard Health Survey Date

2019-05-31

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

55

Total Amount of Fines in Dollars

262080.65

Number of Payment Denials

0

Total Number of Penalties

55