County: San Mateo

City: Belmont

Belmont Convalescent Hospital
(650) 591-7181 — 1041 Hill Street — Belmont, CA 94002

Services
How to interpret services information.

Cap.= 33 Type = SNF Medi-Cal: no Medicare: no

From CANHR questionnaire returned 4/20/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: B D E I J L R S T U V
Types of Residents Not Accepted: A F M N O P Q
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 0 19.6 24 10.4
2006 0 0 0 14 20.8 8 12.5
2007 0 0 0 1 21.7 1 15.13
2008 0 0 0 30 18.1 1 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Belmont

Carlmont Gardens Nursing Center
(650) 591-9601 — 2140 Carlmont Drive — Belmont, CA 94002

Services
How to interpret services information.

Cap.= 74 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/15/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L Q R S T U V
Types of Residents Not Accepted: N O P
Languages spoken by direct-care staff: I
Family Council: No Family Council

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 24 19.6 4 10.4
2006 0 0 0 23 20.8 23 12.5
2007 0 0 0 17 21.7 5 15.13
2008 0 0 0 21 18.1 4 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Burlingame

Burlingame Long Term Care D/P SNF
(650) 692-3758 — 1100 Trousdale Drive — Burlingame, CA 94010

Services
How to interpret services information.

Cap.= 281 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/5/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D F I J L O P Q R S T U V
Types of Residents Not Accepted: N
Languages spoken by direct-care staff: A B C E I V gg mm oo
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 0 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.7 0 15.13
2008 0 0 0 0 18.1 0 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Burlingame

Mills-Peninsula Skilled Nursing
650) 696-5270 — 1609 Trousdale Drive — Burlingame, CA 94010

Services
How to interpret services information.

Cap.= 84 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 10/10/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I L P Q R S T U V
Types of Residents Not Accepted: B M O
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 40 19.6 29 10.4
2006 0 0 0 72 20.8 63 12.5
2007 0 1 2 7 21.7 22 15.13
2008 0 0 0 0 18.1 0 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Burlingame

Peninsula Medical Center D/P SNF
(650) 696-5669 — 1783 El Camino Real — Burlingame, CA 94010

Services
How to interpret services information.

Cap.= 53 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 22 19.6 4 10.4
2006 0 0 0 18 20.8 7 12.5
2007 0 0 0 16 21.7 7 15.13
2008 0 0 0 0 18.1 3 14.13
2009 0 0 0 0 1 12.87
2010 0 0 0 0 NA 0 4.48

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City: Daly City

Seton Medical Center D/P SNF
(650) 992-4000 — 1900 Sullivan Ave. — Daly City, CA 94015

Services
How to interpret services information.

Cap.= 83 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 12/10/2002:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D F I M N P Q R S T U V
Types of Residents Not Accepted: B E J L O
Languages spoken by direct-care staff: A B C I V
Family Council: No Family Council

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 4 19.6 26 10.4
2006 0 1 0 51 20.8 58 12.5
2007 0 0 2 31 21.7 78 15.13
2008 0 0 1 39 18.1 33 14.13
2009 0 0 1 0 2 12.87
2010 0 0 0 0 NA 0 4.48

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City: Daly City

St. Francis Convalescent Pavilion
(650) 994-3200 — 99 Escuela Drive — Daly City, CA 94015

Services
How to interpret services information.

Cap.= 239 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/13/1994:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A F I L M O S
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: A B C I K L V dd gg hh ii jj kk ll mm
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 17 19.6 43 10.4
2006 0 0 0 0 20.8 26 12.5
2007 0 0 0 35 21.7 32 15.13
2008 0 0 1 30 18.1 24 14.13
2009 0 0 0 0 0 12.87
2010 0 0 1 0 NA 0 4.48

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City: Daly City

St. Francis Heights Convalescent Hospital
(650) 755-9515 — 35 Escuela Drive — Daly City, CA 94015

Services
How to interpret services information.

Cap.= 102 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1996:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I L M O
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: A B I K L V Y gg qq
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 18 19.6 30 10.4
2006 0 0 0 25 20.8 32 12.5
2007 0 0 0 32 21.7 15 15.13
2008 0 0 2 20 18.1 17 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Menlo Park

Atherton Healthcare
(650) 325-8600 — 1275 Crane Street — Menlo Park, Ca 94025

Services
How to interpret services information.

Cap.= 160 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/15/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: Unk.
Types of Residents Accepted: A D E F I L Q R S T U V
Types of Residents Not Accepted: B J M N O P
Languages spoken by direct-care staff: A B E I V oo
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 12 19.6 4 10.4
2006 0 1 0 54 20.8 67 12.5
2007 0 0 1 17 21.7 28 15.13
2008 1 1 0 25 18.1 6 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Millbrae

A & C Convalescent Hospital of Millbrae
(650) 583-8937 — 33 Mateo Avenue — Millbrae, CA 94030

Services
How to interpret services information.

Cap.= 140 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/26/1994:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: L S
Types of Residents Not Accepted: A F J M N O
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 23 19.6 36 10.4
2006 0 0 1 8 20.8 44 12.5
2007 0 0 0 23 21.7 36 15.13
2008 0 0 1 61 18.1 19 14.13
2009 0 0 1 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Millbrae

Millbrae Serra Convalescent Hospital
(650) 697-8386 — 150 Serra Avenue — Millbrae, CA 94030

Services
How to interpret services information.

Cap.= 125 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/26/1991:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: L
Types of Residents Not Accepted: A J N O
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 15 19.6 7 10.4
2006 0 1 0 31 20.8 33 12.5
2007 0 0 1 20 21.7 11 15.13
2008 0 0 0 23 18.1 5 14.13
2009 0 0 0 0 1 12.87
2010 0 0 0 0 NA 0 4.48

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City: Moss Beach

Seton Medical Center - Coastside D/P SNF
(650) 563-7100 — 600 Marine Boulevard — Moss Beach, CA 94038

Services
How to interpret services information.

Cap.= 116 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/25/1994:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: F S
Types of Residents Not Accepted: I J M N O
Languages spoken by direct-care staff:
Family Council: No Family Council

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 1 19.6 17 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 1 0 0 21.7 0 15.13
2008 0 0 0 0 18.1 0 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Pacifica

Linda Mar Care Center
(650) 359-4800 — 751 San Pedro Terrace Road — Pacifica, Ca 94044

Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/5/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L N Q R S T U V
Types of Residents Not Accepted: J O P
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 32 19.6 22 10.4
2006 0 0 0 24 20.8 47 12.5
2007 0 0 10 39 21.7 33 15.13
2008 0 0 1 9 18.1 8 14.13
2009 0 0 1 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Pacifica

Pacifica Nursing And Rehab Center
(650) 993-5576 — 385 Esplanade Street — Pacifica, Ca 94044

Services
How to interpret services information.

Cap.= 68 Type = SNF Medi-Cal: Withdrawn Medicare: yes

From CANHR questionnaire returned 8/20/2003:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted: D E F I L S U V
Types of Residents Not Accepted: P T
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 12 19.6 4 10.4
2006 0 0 1 41 20.8 41 12.5
2007 0 0 1 8 21.7 11 15.13
2008 0 0 0 16 18.1 2 14.13
2009 0 0 1 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Portola Valley

Sequoias, The
(650) 851-1501 — 501 Portola Road — Portola Valley, CA 94028

Services
How to interpret services information.

Cap.= 48 Type = SNF / CCRC Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 10/3/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I J L M O Q R S T U V
Types of Residents Not Accepted: B F P
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 17 19.6 14 10.4
2006 0 0 0 19 20.8 6 12.5
2007 0 0 0 29 21.7 5 15.13
2008 0 0 0 0 18.1 1 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: Redwood City

Devonshire Oaks Nursing Center
(650) 366-9503 — 3635 Jefferson Ave. — Redwood City, CA 94062

Services
How to interpret services information.

Cap.= 37 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/5/2001:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 40 19.6 34 10.4
2006 0 0 0 33 20.8 31 12.5
2007 0 0 0 21 21.7 17 15.13
2008 0 0 0 22 18.1 15 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: San Bruno

San Bruno Skilled Nursing Hospital
(650) 583-7768 — 890 El Camino Real — San Bruno, CA 94066

Services
How to interpret services information.

Cap.= 45 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/11/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E F I J L O S U V
Types of Residents Not Accepted: A B M N P Q R T
Languages spoken by direct-care staff: A B I
Family Council: No Family Council

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 16 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 21 21.7 3 15.13
2008 0 0 0 11 18.1 0 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: San Mateo

Brookside Skilled Nursing Hospital
(650) 349-2161 — 2620 Flores Street — San Mateo, Ca 94403

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/3/1993:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: I O S
Types of Residents Not Accepted: A F J M N
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 32 19.6 12 10.4
2006 0 0 0 25 20.8 12 12.5
2007 0 0 0 20 21.7 3 15.13
2008 0 0 0 1 18.1 1 14.13
2009 0 0 1 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: San Mateo

Mills-Peninsula Extended Care
(650) 344-6353 — 101 S. San Mateo Drive — San Mateo, Ca 94401

Services
How to interpret services information.

Cap.= 75 Type = SNF Medi-Cal: Medicare:

From CANHR questionnaire returned 8/21/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L M P Q R S T U V
Types of Residents Not Accepted: B N O
Languages spoken by direct-care staff: A B C I O kk
Family Council: No Family Council

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 0 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.7 0 15.13
2008 0 0 0 0 18.1 0 14.13
2009 0 0 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: San Mateo

San Mateo Convalescent Hospital, Inc.
(650) 342-6255 — 453 N. San Mateo Drive — San Mateo, CA 94401

Services
How to interpret services information.

Cap.= 34 Type = SNF Medi-Cal: no Medicare: no

From CANHR questionnaire returned 8/21/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E L O U
Types of Residents Not Accepted: B
Languages spoken by direct-care staff: A I gg
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 0 19.6 2 10.4
2006 0 0 0 0 20.8 4 12.5
2007 0 0 1 1 21.7 3 15.13
2008 0 0 0 0 18.1 4 14.13
2009 0 0 1 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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City: San Mateo

San Mateo Medical Center D/P SNF
(650) 573-2222 — 222 West 39th Avenue — San Mateo, CA 94403

Services
How to interpret services information.

Cap.= 94 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/5/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D F I J M O S T U V
Types of Residents Not Accepted: B E L N P Q R
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health: Complaints as of 5/24/2010 & Defs. as of 9/30/2008;
Citations as of 7/21/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2005 0 0 0 33 19.6 59 10.4
2006 0 0 2 37 20.8 69 12.5
2007 0 0 1 32 21.7 45 15.13
2008 0 1 0 23 18.1 43 14.13
2009 0 1 0 0 0 12.87
2010 0 0 0 0 NA 0 4.48

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California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171