ST. MARY'S MEDICAL CENTER (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at St. Mary's Medical Center (Distinct Part Snf). It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ST. MARY'S MEDICAL CENTER (DISTINCT PART SNF)
450 STANYAN STREET
SAN FRANCISCO, CA 94117
(415) 555-5555

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

  • Residents: 22
  • Certified Beds: 32

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Daly City | Pacifica | Mill Valley

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. Mary's Medical Center (Distinct Part Snf). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1610.7%
ADL Index Range: 6-1013.7%
ADL Index Range: 0-527.5%
Total Percent:51.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
1.5%
ADL Index Range: 2-5
- No Signs of depression
9.2%
Total Percent:11.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
19.1%
ADL Index Range: 0-1
- No Signs of depression
17.6%
Total Percent:36.6%
 

Rating Details For St. Mary's Medical Center (Distinct Part Snf)

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours2 Hours and 55 Minutes2 Hours and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours10 Minutes1 Hour and 17 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 2 Minutes2 Hours and 46 Minutes
Total Licensed Nurse Hours3 Hours and 4 Minutes3 Hours and 28 Minutes
Total Nurse Hours5 Hours and 7 Minutes6 Hours and 14 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores17%17%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain63%23%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/09/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Hire a Qualified Activities Director.
  • Inspection Date: 07/09/2010
  • Correction Date: 07/27/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Provide Bedrooms That Open into an Exit Hallway.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/09/2010
  • Correction Date: 07/27/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/30/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/16/2009
  • Correction Date: 08/24/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that St. Mary's Medical Center (Distinct Part Snf) had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/22/2009
  • Correction Date: 08/20/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/05/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011