SAN FRANCISCO TOWERS
Address
1661 PINE STREET
SAN FRANCISCO, CA 94109
(415) 447-5534
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
64%Number of Residents and Certified Beds
- Residents: 35
- Certified Beds: 55
This Facility Accepts
- Medicare
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Part of a Chain or Franchise
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 "Ultra-High 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 San Francisco Towers. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 9.2% |
| ADL Index Range: 6-10 | 24.4% |
| ADL Index Range: 0-5 | 56.7% |
| Total Percent: | 90.3% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 5.5% |
| ADL Index Range: 0-5 | 1.3% |
| Total Percent: | 6.7% |
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 | 2.9% |
| Total Percent: | 2.9% |
Rating Details For San Francisco Towers
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 35 Minutes | 1 Hour and 6 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 9 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 5 Minutes | 2 Hours and 33 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 44 Minutes | 1 Hour and 49 Minutes |
| Total Nurse Hours | 5 Hours and 49 Minutes | 4 Hours and 22 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 Facility | California Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 86% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 12% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 8% | 11% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 15% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 19% | 9% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 61% | 58% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 14% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 6% | 8% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 7% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 83% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 81% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 6% | 17% |
| Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 18% | 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 06/09/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Have a Detailed, Written Plan for Disasters and Emergencies.
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Train All Employees on What to Do in an Emergency.
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Train All Employees on What to Do in an Emergency.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have Enough Backup Water Supply for Important Areas of the Nursing Home.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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 San Francisco Towers 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 07/06/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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