San Francisco Health Care
1477 Grove Street · San Francisco, CA · 94117 · 4155630565
168 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $28,529 in fines in the last 24 months.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 2 · $152,404 |
Inspection citations (35 in the current record)
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Potential for harm · D April 28, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 28, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 28, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Actual harm · G February 28, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 25, 2025 · Resident Rights
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Potential for harm · D February 28, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · E February 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 28, 2025
Dispose of garbage and refuse properly.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · D February 28, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · E February 28, 2025
Provide and implement an infection prevention and control program.
Corrected March 25, 2025 · Infection Control
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Potential for harm · E February 28, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 25, 2025 · Environmental
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Potential for harm · E February 28, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 25, 2025 · Pharmacy Service
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Potential for harm · D August 1, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected August 23, 2024 · Resident Rights
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Immediate jeopardy · J January 22, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 17, 2024 · Quality of Life and Care
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Potential for harm · D January 22, 2024
Keep residents' personal and medical records private and confidential.
Corrected February 17, 2024 · Resident Rights
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Potential for harm · F January 22, 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 March 22, 2024 · Resident Rights
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Potential for harm · D January 22, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 22, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 22, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D January 22, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 17, 2024 · Quality of Life and Care
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Potential for harm · D January 22, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected February 17, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $28,529 |
| January 22, 2024 | Fine | $123,875 |
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 056272 · certified since December 31, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.