The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF
SAN FRANCISCO, CA · Medicare-certified · 769 beds
Needs attention
Abuse citationFor-profit
2 of 5 overall
Laguna Honda Hospital & Rehabilitation Center D/P SNF has an overall rating of 2 out of 5 stars, with 2-star health inspection results, 4-star staffing, and 3-star quality measures. It has a recent abuse citation and $17,323 in fines over the last 24 months, while reported nurse staffing of 6.32 hours per resident day is above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
6.3197 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $17,323recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.3197.
Staffing detail
- Registered nurses
- 2.16
- Licensed practical nurses
- 0.81
- Nurse aides
- 3.35
- Weekend nursing
- 5.15
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.4%Steady
Residents with a fall causing major injury
2.1%Worsening
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
4.1%Worsening
Residents who were physically restrained
0.6%Improving
Residents needing more help with daily activities
14.4%Worsening
Residents whose ability to walk got worse
18.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.5%Improving
Short-stay residents newly given an antipsychotic
5%Worsening
Residents with a long-term catheter
0.7%Steady
Residents with new or worsening incontinence
14.8%Worsening
Residents with depressive symptoms
0.8%Improving
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
96.7%Improving
Short-stay residents given the seasonal flu vaccine
91.1%Steady
Short-stay residents given the pneumonia vaccine
62.3%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to properly dispose of garbage and other waste. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $17,323 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 8 fines · $55,499 in total fines.
- $17,323
Federal fine
Aug 1, 2025
- $4,938
Federal fine
Feb 20, 2024
- $4,938
Federal fine
Feb 12, 2024
- $12,534
Federal fine
Jan 22, 2024
- $3,418
Federal fine
Jan 8, 2024
- $2,823
Federal fine
Jan 2, 2024
- $6,351
Federal fine
Dec 11, 2023
- $3,174
Federal fine
Nov 6, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 552.4 residents on an average day (72% of 769 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 2 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.