SAN FRANCISCO HEALTH CARE has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating but stronger staffing and quality ratings at 4 stars each. It reported 4.00 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, had $28,529 in fines in the last 24 months, and has a recent federal penalty; recent citations included accident hazards/supervision, food and fluids, and infection prevention and control.
Last inspection: January 20, 2026Penalties, last 24 months: $28,529recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.002.
Staffing detail
Registered nurses
0.81
Licensed practical nurses
0.44
Nurse aides
2.76
Weekend nursing
3.79
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.3%Worsening
Residents with a fall causing major injury
1.5%Steady
Residents with pressure ulcers (bedsores)
4.9%Worsening
Residents with a urinary tract infection
1.5%Worsening
Residents who lost too much weight
5.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.3%Improving
Residents whose ability to walk got worse
9.4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
1.9%Worsening
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
4.7%Worsening
Residents with new or worsening incontinence
5%Improving
Residents with depressive symptoms
0.3%Steady
Long-stay residents given the seasonal flu vaccine
99%Steady
Long-stay residents given the pneumonia vaccine
97.6%Improving
Short-stay residents given the seasonal flu vaccine
64.4%Steady
Short-stay residents given the pneumonia vaccine
85.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited February 2025 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2024 — widespread issue, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $28,529 was recorded.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $152,404 in total fines.
Federal fine
Feb 28, 2025
$28,529
Federal fine
Jan 22, 2024
$123,875
Operator & ownership
Ownership
For profit - Corporation
Occupancy
131.4 residents on an average day (78% of 168 beds)
Resident voice
Resident council
Medicare history
Certified for 54 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.