Sequoias San Francisco Convalescent Hospital

1400 Geary Blvd · San Francisco, CA · 94109 · 4159229700

50 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 100
Staffing 20% 94
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.123.48 min · 4.1 strong
RN hours / resident-day1.810.55–0.75
Weekend hours / resident-day4.35≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)none

Inspection citations (15 in the current record)

  • Potential for harm · F February 17, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · F February 17, 2026

    Dispose of garbage and refuse properly.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · F February 17, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 20, 2026 · Administration

  • Potential for harm · F February 17, 2026

    Keep all essential equipment working safely.

    Corrected March 20, 2026 · Environmental

  • Potential for harm · F February 17, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 20, 2026 · Environmental

  • Potential for harm · F February 17, 2026

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected March 20, 2026 · Environmental

  • Potential for harm · D November 22, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 31, 2024 · Resident Rights

  • Potential for harm · D November 22, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 31, 2024 · Pharmacy Service

  • Potential for harm · D May 12, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 12, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 10, 2023 · Pharmacy Service

  • Potential for harm · D May 12, 2023

    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 July 10, 2023 · Pharmacy Service

  • Potential for harm · D May 12, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 10, 2023 · Pharmacy Service

  • Potential for harm · E May 12, 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 July 10, 2023 · Pharmacy Service

  • Potential for harm · F May 12, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 10, 2023 · Nutrition and Dietary

  • Potential for harm · E May 12, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 10, 2023 · Infection Control

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.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056071 · certified since June 18, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.