Laguna Honda Hospital & Rehabilitation Ctr D/P SNF
375 Laguna Honda Blvd. · San Francisco, CA · 94116 · 4157592300
769 certified beds For profit - Individual Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,323 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 6.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.16 | 0.55–0.75 |
| Weekend hours / resident-day | 5.15 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 8 · $55,499 |
Inspection citations (40 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has no plan of correction · Resident Rights
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Actual harm · G August 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 1, 2025 · Resident Rights
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Potential for harm · D May 2, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 1, 2025 · Resident Rights
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Potential for harm · D May 2, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 1, 2025 · Pharmacy Service
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Potential for harm · D May 2, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected June 1, 2025 · Nutrition and Dietary
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Potential for harm · D May 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 1, 2025 · Nutrition and Dietary
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Potential for harm · F May 2, 2025
Dispose of garbage and refuse properly.
Corrected June 1, 2025 · Nutrition and Dietary
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Potential for harm · F May 2, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 1, 2025 · Environmental
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Potential for harm · D November 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 8, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 8, 2024 · Pharmacy Service
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Potential for harm · D November 8, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 8, 2024 · Pharmacy Service
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Potential for harm · F November 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2024 · Nutrition and Dietary
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Potential for harm · F November 8, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 8, 2024 · Environmental
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Potential for harm · D October 2, 2024 · found via complaint
Provide appropriate foot care.
Corrected November 1, 2024 · Quality of Life and Care
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Actual harm · G May 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2024 · Quality of Life and Care
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Actual harm · G February 9, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2024 · Resident Assessment and Care Planning
-
Actual harm · G February 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $17,323 |
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $12,534 |
| January 8, 2024 | Fine | $3,418 |
| January 2, 2024 | Fine | $2,823 |
| December 11, 2023 | Fine | $6,351 |
| November 6, 2023 | Fine | $3,174 |
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 555929 · certified since May 30, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.