Central Gardens Post Acute
1355 Ellis Street · San Francisco, CA · 94115 · 4155672967
92 certified beds For profit - Limited Liability company Chain: Pacs Group
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D February 20, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 13, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025
Provide and implement an infection prevention and control program.
Corrected March 13, 2025 · Infection Control
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Potential for harm · E April 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 25, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2024 · Quality of Life and Care
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Potential for harm · D May 26, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 26, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 26, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 24, 2023 · Pharmacy Service
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Potential for harm · E May 26, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected June 24, 2023 · Pharmacy Service
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Potential for harm · D May 26, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 24, 2023 · Pharmacy Service
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Potential for harm · D May 26, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 24, 2023 · Nutrition and Dietary
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Potential for harm · E May 26, 2023
Provide and implement an infection prevention and control program.
Corrected June 24, 2023 · Infection Control
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Potential for harm · D October 4, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 12, 2019 · Resident Rights
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Potential for harm · D October 4, 2019
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 12, 2019 · Resident Rights
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Potential for harm · E October 4, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 12, 2019 · Resident Rights
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Potential for harm · D October 4, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected November 12, 2019 · Quality of Life and Care
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Potential for harm · D October 4, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2019 · Quality of Life and Care
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Potential for harm · E October 4, 2019
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected November 12, 2019 · Nursing and Physician Services
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Potential for harm · E October 4, 2019
Ensure medication error rates are not 5 percent or greater.
Corrected November 12, 2019 · Pharmacy Service
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Potential for harm · E October 4, 2019
Ensure that residents are free from significant medication errors.
Corrected November 12, 2019 · Pharmacy Service
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Potential for harm · E October 4, 2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 12, 2019 · Pharmacy Service
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Potential for harm · F October 4, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 12, 2019 · Nutrition and Dietary
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Potential for harm · D October 4, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 12, 2019 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055280 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.