Overall Rating
Address
1001 Potrero Avenue
San Francisco, CA 94110
Contact
4152068283
Certification Date
1996-03-20
CMS Certification Number
555660
Ownership Type
Government - City/county
Number of Certified Beds
30
Average Number of Residents per Day
29.4
Provider Type
Medicare and Medicaid
Legal Business Name
CITY & COUNTY OF SAN FRANCISCO
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
4
Quality Measure Rating
3
Staffing Rating
5
Reported Nurse Aide Staffing Hours per Resident per Day
1.49945
Reported LPN Staffing Hours per Resident per Day
0.41701
Reported RN Staffing Hours per Resident per Day
4.20850
Reported Total Nurse Staffing Hours per Resident per Day
6.12495
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
5.18388
Registered Nurse Hours per Resident per Day on the Weekend
3.44584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41220
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
50.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-06-08
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
1
Health Deficiency Score
68
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
68
Standard Health Survey Date
2020-03-11
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-02-20
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
48
Number of Health Revisits
2
Health Revisit Score
24
Total Health Score
72
Number of Fines
1
Total Amount of Fines in Dollars
650.00
Number of Payment Denials
0
Total Number of Penalties
1