San Francisco, CA

Hayes Convalescent Hospital

5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

1250 Hayes Street, San Francisco, CA

(415) 931-8806

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

34

Certified beds

Average residents

26

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1979-01-01

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.48

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.82

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.27

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

4.03

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

1.04

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

4.19

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
98.5%
0.3 pts worse
93.4%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
1.6%
1 pts worse
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.3% · Q3 3.4% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.4%
6.8%
4.4 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight 3.0%
4.1%
1.1 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.7% · Q3 0.0% · Q4 4.8% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 1.0%
13.7%
12.7 pts better
19.6%
18.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who received an antipsychotic medication 5.8%
14.2%
8.4 pts better
16.7%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.7% · Q3 9.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.9%
0.4%
0.5 pts worse
0.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents whose ability to walk independently worsened 25.1%
11.0%
14.1 pts worse
16.3%
8.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.8%
10.7%
8.1 pts worse
14.9%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6%
1.0%
1.6 pts worse
1.0%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.9% · Q3 2.3% · Q4 3.6% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.7%
10.9%
0.8 pts worse
19.8%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 3.9% · Q3 7.2% · Q4 26.1% · 4Q avg 11.7%
Percentage of long-stay residents with pressure ulcers 5.8%
4.7%
1.1 pts worse
5.1%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 7.8% · Q3 0.0% · Q4 4.6% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.3%
94.0%
20.7 pts worse
81.7%
8.4 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 73.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-07 · Fire 2025-11-07

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-12-12 · Fire 2024-12-12

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-10-12 · Fire 2023-10-12

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-09

C · Minimal harm 2025-11-07

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-11-13

E · Potential for more than minimal harm 2024-12-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-12-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-12-12

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-12-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-17

E · Potential for more than minimal harm 2023-10-12

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-10-12

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-10-12

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-10-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-02

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-12-12

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-12-12

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-12-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-03

D · Potential for more than minimal harm 2023-10-12

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-05-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-22

Penalties and ownership

What sits behind the stars

Ownership

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