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5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sunset Gardens Assisted Living is a residential care community in San Francisco, CA, offering personalized assistance for older adults. With a boutique-style setting, the community ensures older adults can feel at home. Nutritious home-cooked meals, wellness activities, and assistance with daily living activities are also provided to help residents maintain their independence. As a family-owned and operated community, Sunset Gardens follows a hands-on, family-first approach to care dedicated to improving residents’ quality of life.
Light exercises and various activities are conducted for residents’ social and physical well-being. The community also features comfortable rooms and award-winning gardens, providing residents with more spaces for relaxation and socialization. Situated in the quiet residential area of San Francisco, the community guarantees a laid-back lifestyle. This residential care community has been trusted by families in San Francisco since 2013, making it a great choice for senior living in California.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 52nd out of 345 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 58m per day | ▲ 43% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 57m per day | ▼ 22% State avg: 1h 12m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 3m per day | ▲ 15% State avg: 2h 39m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 20m per day | ▲ 6% State avg: 4h 5m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 81% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ▲ 24% State avg: 31m per day · National avg: 29m per day |
Higher than the California average: 72.8%Sunset Gardens is legally operated by Tredici, Llc, and administrated by Katie Eiseman.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
15 points above the California average for nursing homes (81/100)
Rank #1 / 1401 in California Inspection Score — State benchmarked This home is ranked 1st out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Inspection score: 96 out of 100. Letter grade A. 15 points above the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 10 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 10).↓ 100% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 5 | 16 | This facility has 69% fewer total visits than a typical California nursing home (5 vs. CA avg 16).↓ 69% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 0 | 13 | This facility has 100% fewer complaint visits than a typical California nursing home (0 vs. CA avg 13).↓ 100% better Rank #1 / 1397 Complaint visits — State benchmarked This home is ranked 1st out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 1 | 7 | This facility has 86% fewer other visits than a typical California nursing home (1 vs. CA avg 7).↓ 86% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Apr 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
42 of 44 citations resulted from standard inspections; and 2 of 44 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
In line with California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% more staff per resident than California average
10% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,838 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 14,597 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,517 | 92 | 100% | 7.5 |
| Registered Nurse | 15 | 0 | 15 | 3,869 | 92 | 100% | 6.8 |
| Dental Services Staff | 3 | 0 | 3 | 881 | 67 | 73% | 7.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 809 | 63 | 68% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 695 | 92 | 100% | 7.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 629 | 65 | 71% | 9.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 386 | 53 | 58% | 7.3 |
| Nurse Practitioner | 2 | 0 | 2 | 375 | 55 | 60% | 6.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 363 | 57 | 62% | 6.4 |
| Occupational Therapy Aide | 0 | 3 | 3 | 135 | 28 | 30% | 4.5 |
| Qualified Social Worker | 0 | 1 | 1 | 96 | 25 | 27% | 3.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 91 | 45 | 49% | 2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 78 | 37 | 40% | 1.8 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
78% lower than California averageCalifornia average: $55K
58% fewer fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 6, 2025 · $12K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
10% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.7
23% better than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
9% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
4.4%
63% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.7%
14% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
180% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.5%
10% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.8%
36% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
4.4%
In line with California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
6.7%
In line with California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
15.6%
55% worse than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
12% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
5% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
4% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
83% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sunset Gardens from 2012–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #261 / 346Payroll — State benchmarkedThis home is ranked 261st out of 346 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private / Shared Rooms
Building Type: 2-story
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (83% of admissions), and a typical Medicaid stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.6 miles from city center
Estimated distance in miles from San Francisco's city center to Sunset Gardens's address, calculated via Google Maps.
Add your location
Sunset Gardens is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| Sunset Gardens |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Francisco (Sunset District) | 13
Facility
13
CA AVG
103
Rank
#1309 / 1657 |
76.9%
Facility
76.9%
CA AVG
84.7%
Rank
#763 / 1530 | -9% | 4.87
Facility
4.87
CA AVG
4.22
Rank
#52 / 345 | +64% | +15% | $12.0k
Facility
$12.0k
CA AVG
$56.5k
Rank
#240 / 352 | 96
Facility
96
CA AVG
81
Rank
#1 / 1401 | 44
Facility
44
CA AVG
50.2
Rank
#190 / 352 | 8.8
Facility
8.8
CA AVG
4.6
Rank
#339 / 352 | 1 | 10 | - |
0
Facility
0
CA AVG
57
Rank
#2070 / 2092 | Ronald Kinnersley | $10.1M
Facility
$10.1M
CA AVG
$17.0M
Rank
#280 / 346 | $5.9M
Facility
$5.9M
CA AVG
$7.0M
Rank
#261 / 346 | 57.9%
Facility
57.9%
CA AVG
45.2%
Rank
#87 / 346 | 55423 | ||||
| The Sequoias San Francisco |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | San Francisco (Japantown) | 400
Facility
400
CA AVG
103
Rank
#28 / 1657 |
88.0%
Facility
88.0%
CA AVG
84.7%
Rank
#380 / 1530 | +4% | 6.36
Facility
6.36
CA AVG
4.22
Rank
#8 / 345 | +121% | +51% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | 91
Facility
91
CA AVG
81
Rank
#355 / 1401 | 12
Facility
12
CA AVG
50.2
Rank
#12 / 352 | 4.0
Facility
4.0
CA AVG
4.6
Rank
#163 / 352 | - | 352 | - |
99
Facility
99
CA AVG
57
Rank
#2 / 2092 | Sequoia Living Inc | $35.8M
Facility
$35.8M
CA AVG
$17.0M
Rank
#29 / 346 | $12.1M
Facility
$12.1M
CA AVG
$7.0M
Rank
#70 / 346 | 33.8%
Facility
33.8%
CA AVG
45.2%
Rank
#320 / 346 | 56071 | ||||
| Heritage on the Marina, a CCRC | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | San Francisco (Marina District) | 109
Facility
109
CA AVG
103
Rank
#665 / 1657 |
62.4%
Facility
62.4%
CA AVG
84.7%
Rank
#1170 / 1530 | -26% | - | - | - | - | - | - | - | 93
Facility
93
CA AVG
81
Rank
#242 / 1401 | - | - | - | 68 | - |
96
Facility
96
CA AVG
57
Rank
#43 / 2092 | $1.8M
Facility
$1.8M
CA AVG
$17.0M
Rank
#346 / 346 | $1.5M
Facility
$1.5M
CA AVG
$7.0M
Rank
#345 / 346 | 86.6%
Facility
86.6%
CA AVG
45.2%
Rank
#3 / 346 | 555888 |
Sunset Gardens is in the Sunset District neighborhood of San Francisco.
The legal owner and operator of Sunset Gardens is Tredici, Llc.
Sunset Gardens's occupancy is 77%.
Katie Eiseman is the administrator of Sunset Gardens.
Sunset Gardens has 13 beds.
Sunset Gardens has no recently reported deficiencies or citations.
Yes — there are 4 photos of Sunset Gardens in the photo gallery on this page.
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