The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited August 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 745 — 42 CFR §483.40 — S/S: G
Nursing home report
VICTORIAN POST ACUTE
SAN FRANCISCO, CA · Medicare-certified · 90 beds
In good standing
For-profitChain member
5 of 5 overall
VICTORIAN POST ACUTE has an overall 5-star rating, with strong health inspection and quality scores but only 3 stars for staffing. Reported nurse staffing is 3.87 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.871 hrs/resident/day
Quality measures
Last inspection: February 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.871.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.55
- Weekend nursing
- 3.75
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%2.1%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%1.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.6%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%5%Worsening
Residents whose ability to walk got worse
—4.5%—
Long-stay residents on antianxiety or sleep medication
3.6%4.6%Worsening
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
18.1%28%Worsening
Residents with depressive symptoms
7.4%1.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited August 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 87.3 residents on an average day (97% of 90 beds)
- Medicare history
- Certified for 58 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.