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Detailed information-THE TAMALPAIS

This is the detailed information about THE TAMALPAIS, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 056077
Provider Name: THE TAMALPAIS
Provider State: CA
Provider Zip Code: 94904
Overall Rating: 5
Ownership Type: Non profit - Church related
Number of Substantiated Complaints: 0
Provider Phone Number: 4154612300
Provider City: GREENBRAE
Provider SSA County Code: 310
Provider County Name: Marin
Provider Address: 501 VIA CASITAS
Number of Certified Beds: 52
Number of Residents in Certified Beds: 41.2
Provider Type: Medicare
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1969-06-23
Continuing Care Retirement Community: Y
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Both
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 4
Health Inspection Rating Footnote:
QM Rating: 5
QM Rating Footnote:
Staffing Rating: 5
Staffing Rating Footnote:
RN Staffing Rating: 5
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 3.30783
Reported LPN Staffing Hours per Resident per Day: 0.44494
Reported RN Staffing Hours per Resident per Day: 1.38689
Reported Licensed Staffing Hours per Resident per Day: 1.83183
Reported Total Nurse Staffing Hours per Resident per Day: 5.13966
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.00000
Expected CNA Staffing Hours per Resident per Day: 2.17651
Expected LPN Staffing Hours per Resident per Day: 0.67183
Expected RN Staffing Hours per Resident per Day: 0.34044
Expected Total Nurse Staffing Hours per Resident per Day: 3.18878

Adjusted CNA Staffing Hours per Resident per Day: 3.17520
Adjusted LPN Staffing Hours per Resident per Day: 0.50258
Adjusted RN Staffing Hours per Resident per Day: 1.54974
Adjusted Total Nurse Staffing Hours per Resident per Day: 5.20370
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 11/17/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 5
Rating Cycle 1 Standard Survey Health Date: 2017-11-17
Rating Cycle 1 Total Number of Health Deficiencies: 5
Rating Cycle 1 Number of Standard Health Deficiencies: 5
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 40
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 40

Rating Cycle 2 Standard Health Survey Date: 2016-10-28
Rating Cycle 2 Total Number of Health Deficiencies: 4
Rating Cycle 2 Number of Standard Health Deficiencies: 4
Rating Cycle 2 Number of Complaint Health Deficiencies: 1
Rating Cycle 2 Health Deficiency Score: 48
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 48
Total Weighted Health Survey Score: 43.200
Number of Facility Reported Incidents: 5
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01