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 as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 4/22/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 14 20.8 8 12.5
2007 0 0 0 1 22.1 1 15.1
2008 0 0 0 30 18.2 2 14.4
2009 0 0 0 0 8.5 1 14
2010 0 0 0 1 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 4/23/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 23 20.8 23 12.5
2007 0 0 0 17 22.1 5 15.1
2008 0 0 0 21 18.2 6 14.4
2009 0 0 0 0 8.5 1 14
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 12/11/2003.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 22.1 0 15.1
2008 0 0 0 0 18.2 0 14.4
2009 0 0 0 0 8.5 0 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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City: Burlingame

Mills-Peninsula Skilled Nursing
(650) 696-3560 — 1609 Trousdale Drive — Burlingame, CA 94010


Services
How to interpret services information.

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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 8/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 72 20.8 63 12.5
2007 0 1 2 19 22.1 22 15.1
2008 0 0 0 0 18.2 0 14.4
2009 0 0 0 0 8.5 0 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 1 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 7/9/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 1 0 51 20.8 58 12.5
2007 0 0 2 31 22.1 78 15.1
2008 0 0 1 39 18.2 45 14.4
2009 0 0 1 2 8.5 26 14
2010 0 0 0 0 11.7 9 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 9/15/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 26 12.5
2007 0 0 0 35 22.1 32 15.1
2008 0 0 1 30 18.2 25 14.4
2009 0 0 0 0 8.5 12 14
2010 0 0 1 1 11.7 7 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 9/3/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 25 20.8 32 12.5
2007 0 0 0 32 22.1 15 15.1
2008 0 0 2 20 18.2 21 14.4
2009 0 0 0 0 8.5 4 14
2010 0 0 0 1 11.7 4 6.5
2011 0 0 1 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 2/20/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 1 0 54 20.8 67 12.5
2007 0 0 1 27 22.1 28 15.1
2008 1 1 0 25 18.2 7 14.4
2009 0 0 0 0 8.5 6 14
2010 0 0 0 0 11.7 2 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 5/21/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 8 20.8 44 12.5
2007 0 0 0 23 22.1 36 15.1
2008 0 0 1 61 18.2 19 14.4
2009 0 0 1 0 8.5 17 14
2010 0 0 0 0 11.7 2 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 6/11/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 1 0 31 20.8 33 12.5
2007 0 0 1 20 22.1 11 15.1
2008 0 0 0 23 18.2 7 14.4
2009 0 0 0 0 8.5 4 14
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 7/9/2004.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 0 12.5
2007 0 1 0 0 22.1 0 15.1
2008 0 0 0 0 18.2 0 14.4
2009 0 0 0 0 8.5 0 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 1/10/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 24 20.8 47 12.5
2007 0 0 10 39 22.1 33 15.1
2008 0 0 1 9 18.2 9 14.4
2009 0 0 1 0 8.5 12 14
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 9/3/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 41 20.8 41 12.5
2007 0 0 1 8 22.1 11 15.1
2008 0 0 0 16 18.2 2 14.4
2009 0 0 1 0 8.5 1 14
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 4/21/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 19 20.8 6 12.5
2007 0 0 0 29 22.1 5 15.1
2008 0 0 0 0 18.2 2 14.4
2009 0 0 0 0 8.5 4 14
2010 0 0 0 1 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 7/28/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 33 20.8 31 12.5
2007 0 0 0 21 22.1 17 15.1
2008 0 0 0 22 18.2 17 14.4
2009 0 0 0 0 8.5 4 14
2010 0 0 0 0 11.7 4 6.5
2011 0 0 1 0 NA 0 NA

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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 as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 1/8/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 21 22.1 3 15.1
2008 0 0 0 11 18.2 0 14.4
2009 0 0 0 6 8.5 0 14
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 11/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 25 20.8 12 12.5
2007 0 0 0 20 22.1 3 15.1
2008 0 0 0 1 18.2 1 14.4
2009 0 0 1 4 8.5 10 14
2010 0 0 1 0 11.7 4 6.5
2011 0 1 1 0 NA 0 NA

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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:

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = .
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 22.1 0 15.1
2008 0 0 0 0 18.2 0 14.4
2009 0 0 0 0 8.5 0 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 2/7/1990.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 4 12.5
2007 0 0 1 1 22.1 3 15.1
2008 0 0 0 0 18.2 4 14.4
2009 0 0 1 0 8.5 0 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 3/23/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 2 37 20.8 69 12.5
2007 0 0 1 32 22.1 45 15.1
2008 0 1 0 23 18.2 48 14.4
2009 0 1 0 0 8.5 51 14
2010 0 0 0 29 11.7 19 6.5
2011 0 0 0 0 NA 0 NA

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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