Welcome to the State of California

QUICK SEARCH


OR

OR


Select a category



Advanced Search

Facility Information

Facility ID: 220000087

Register Complaint

A & C Convalescent Hospital Of Millbrae

Other previous Names(s) known as:

  • Emmanuel Convalescent Hospital Of Millbrae

33 Mateo Ave
Millbrae, Ca   94030

County:San Mateo

Phone:(650) 689-5784

Fax:(650) 689-5946

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

San Francisco District Office
150 North Hill Drive, Suite 22
Brisbane, CA. 94005
Phone Number: (415) 330-6353

License Information

Licensee: A & C Health Care Services, Inc.
5615 Cottle Road
San Jose, Ca 95123

Licensee Type: Profit Corp

License Number: 220000050

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 12/6/2013

Expiration Date: 12/5/2014

Total License Capacity: 140

Bed Classification/Services:

Other Approved Services:

  • Physical Therapy
  • Outpatient Services

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:SNF/NF

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:6/5/2014

Nursing Home Compare Five Star Quality Ratings are provided by the Medicare.gov - Nursing Home Compare website.

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

1ComplaintsComplaints

5Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

21Survey DeficienciesSurvey Deficiencies

Year: 2013

0ComplaintsComplaints

10Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

18Survey DeficienciesSurvey Deficiencies

Year: 2012

1ComplaintsComplaints

12Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

22Survey DeficienciesSurvey Deficiencies

Year: 2011

1ComplaintsComplaints

13Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

25Survey DeficienciesSurvey Deficiencies

Year: 2010

1ComplaintsComplaints

20Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

19Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

7Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

42Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

61Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

23Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

8Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

23Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

12Survey DeficienciesSurvey Deficiencies

Administration Information

3/28/2014
to Present

Diyavilla, Inc.
Relationship to Facility: Licensee

12/6/2007
to Present

A & C Health Care Services, Inc.
Relationship to Facility: Licensee

3/1/2014
to Present

Burke, Malcolm K
Relationship to Facility: Administrator

7/12/2001
to Present

Preston Foo, Carmen
Relationship to Facility: Administrator

5/16/2000
to Present

Ibanez, Milagros
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

12/6/2007
to Present

Kelton Title Corporation
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found