Pacific Heights Transitional Care Center
2707 Pine Street · San Francisco, CA · 94115 · 4155637600
120 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare
- 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: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 3.76 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $25,490 |
Inspection citations (28 in the current record)
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Potential for harm · D March 13, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · E March 13, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 3, 2026 · Nursing and Physician Services
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Potential for harm · D March 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 3, 2026 · Pharmacy Service
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Potential for harm · E March 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · D January 29, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · E August 29, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
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.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Ensure each resident receives an accurate assessment.
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · D August 29, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · D August 29, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected September 26, 2024 · Administration
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 26, 2024 · Infection Control
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No harm found · C August 29, 2024
Post nurse staffing information every day.
Corrected September 26, 2024 · Nursing and Physician Services
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Potential for harm · D September 12, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 3, 2023 · Environmental
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Potential for harm · E July 20, 2023
Provide and implement an infection prevention and control program.
Corrected August 18, 2023 · Infection Control
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Potential for harm · E July 3, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 4, 2023 · Environmental
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Potential for harm · D June 2, 2023 · 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 August 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 28, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 11, 2021 · Resident Assessment and Care Planning
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Potential for harm · F April 28, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 11, 2021 · Pharmacy Service
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Potential for harm · E April 28, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 11, 2021 · Pharmacy Service
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Potential for harm · D April 28, 2021
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 June 11, 2021 · Pharmacy Service
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Potential for harm · E April 28, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected June 11, 2021 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2025 | Fine | $25,490 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056176 · certified since March 29, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.