1/5
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.
1/5
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.
San Francisco Health Care is a renowned nursing home in San Francisco, CA, that offers nursing services, therapy, mental health services, and other medical services. With 24-hour care options, older adults receive the utmost attention for their comfort and safety. X-ray, housekeeping, and pharmacy services are just some of the community’s unique offerings, dedicated to improving older adults’ quality of life. The community also strives to promote diversity and inclusivity with a multilingual team and a welcoming setting, ensuring older adults feel a sense of belonging during their stay.
Parties, light exercises, and community events are conducted to encourage residents to make new friends and have fun. A restaurant-style dining is also provided, so residents have a hassle-free dining experience that caters to their dietary needs and preferences. Occupational, speech, and physical therapy are also provided to help residents go back to their routines. As one of San Francisco’s trusted nursing homes, this senior living community makes a good option for those seeking a wide range of care for their healthcare needs.
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 160th out of 354 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.
| 48m per day | ▲ 24% State avg: 39m 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.
| 26m per day | ▼ 64% State avg: 1h 13m 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.
| 2h 46m per day | ▲ 4% State avg: 2h 39m per day · National avg: 2h 21m 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.
| 3h 48m per day | ▼ 7% State avg: 4h 5m per day · National avg: 3h 26m 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.
| 8m per day | ▲ 63% State avg: 5m 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.
| 50m per day | ▲ 66% State avg: 30m per day · National avg: 29m per day |
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.
California average 12.5
Last Health inspection on Feb 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.
30 of 36 citations resulted from standard inspections; and 6 of 36 resulted from complaint investigations.
150% worse than California averageCalifornia average: 0.4
100% worse than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
52% more staff per resident than California average
13% better 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.
29 total: 11 full-time employees and 18 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
70 total: 6 full-time employees and 64 contractors.
70
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
180 total: 30 full-time employees and 150 contractors.
180
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
33,039 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 150 | 180 | 33,377 | 92 | 100% | 8.9 |
| Registered Nurse | 11 | 18 | 29 | 8,881 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 6 | 64 | 70 | 5,259 | 92 | 100% | 7.3 |
| Occupational Therapy Aide | 5 | 0 | 5 | 2,426 | 92 | 100% | 7.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,639 | 83 | 90% | 9.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 1,450 | 68 | 74% | 11.2 |
| Qualified Activities Professional | 0 | 7 | 7 | 1,011 | 92 | 100% | 10.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 0 | 1 | 1 | 384 | 48 | 52% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 328 | 57 | 62% | 5.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 67 | 7 | 8% | 9.6 |
Includes penalties issued in 2024-2025
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)
179% higher than California averageCalifornia average: $55K
15% 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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2024Last 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.
6.9
In line with California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.9
In line with California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
6% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
11.9%
In line with California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.1%
20% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
In line with California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
2.6%
48% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.6%
56% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
6.6%
57% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.6%
91% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
6.4%
36% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.29
In line with California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.35
48% worse than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.0%
25% worse than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
11% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
64.4%
31% worse than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.1%
26% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
43% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
24% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.6%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents 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 San Francisco Health Care and Rehab Inc. from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #109 / 355Payroll — State benchmarkedThis home is ranked 109th out of 355 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.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #89 / 355Payroll % — State benchmarkedThis home is ranked 89th out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Shared Rooms
Building Type: 2-story
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.6 miles from city center
Estimated distance in miles from San Francisco's city center to San Francisco Health Care and Rehab Inc.'s address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| The Avenues Transitional Care Center | NH HC MC NC RC | San Francisco (Outer Sunset) | 140
Facility
140
CA AVG
103
Rank
#419 / 1657 |
88.1%
Facility
88.1%
CA AVG
84.7%
Rank
#374 / 1537 | +4% | 4.22
Facility
4.22
CA AVG
4.22
Rank
#138 / 354 | +57% | 0% | $12.7k
Facility
$12.7k
CA AVG
$56.5k
Rank
#251 / 362 | - | 26
Facility
26
CA AVG
50.2
Rank
#86 / 361 | 3.7
Facility
3.7
CA AVG
4.6
Rank
#135 / 361 | 1 | 131 | A |
85
Facility
85
CA AVG
57
Rank
#290 / 2092 | Craig Orgill | $22.8M
Facility
$22.8M
CA AVG
$17.0M
Rank
#93 / 355 | $11.2M
Facility
$11.2M
CA AVG
$7.0M
Rank
#36 / 355 | 49.3%
Facility
49.3%
CA AVG
45.2%
Rank
#89 / 355 | 55963 | ||||
| The Sequoias San Francisco | NH AL HC MC RC | San Francisco (Japantown) | 400
Facility
400
CA AVG
103
Rank
#28 / 1657 |
88.0%
Facility
88.0%
CA AVG
84.7%
Rank
#380 / 1537 | +4% | 6.36
Facility
6.36
CA AVG
4.22
Rank
#8 / 354 | +121% | +51% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | 91
Facility
91
CA AVG
81
Rank
#355 / 1401 | 12
Facility
12
CA AVG
50.2
Rank
#12 / 361 | 4.0
Facility
4.0
CA AVG
4.6
Rank
#169 / 361 | - | 352 | - |
99
Facility
99
CA AVG
57
Rank
#2 / 2092 | Sequoia Living Inc | $34.3M
Facility
$34.3M
CA AVG
$17.0M
Rank
#31 / 355 | $11.0M
Facility
$11.0M
CA AVG
$7.0M
Rank
#72 / 355 | 32.2%
Facility
32.2%
CA AVG
45.2%
Rank
#329 / 355 | 56071 | ||||
| San Francisco Health Care and Rehab Inc. | NH NC | San Francisco (North Of The Panhandle) | 168
Facility
168
CA AVG
103
Rank
#267 / 1657 |
60.2%
Facility
60.2%
CA AVG
84.7%
Rank
#1216 / 1537 | -29% | 4.10
Facility
4.10
CA AVG
4.22
Rank
#160 / 354 | +9% | -3% | $152.4k
Facility
$152.4k
CA AVG
$56.5k
Rank
#359 / 362 | - | 36
Facility
36
CA AVG
50.2
Rank
#148 / 361 | 5.1
Facility
5.1
CA AVG
4.6
Rank
#257 / 361 | 3 | 131 | A |
96
Facility
96
CA AVG
57
Rank
#43 / 2092 | Stan Stukov | $15.0M
Facility
$15.0M
CA AVG
$17.0M
Rank
#159 / 355 | $9.0M
Facility
$9.0M
CA AVG
$7.0M
Rank
#109 / 355 | 60.1%
Facility
60.1%
CA AVG
45.2%
Rank
#89 / 355 | 56272 |
San Francisco Health Care and Rehab Inc. is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
San Francisco Health Care and Rehab Inc. is in the North of the Panhandle neighborhood of San Francisco.
San Francisco Health Care and Rehab Inc. has a walk score of 96. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
San Francisco Health Care and Rehab Inc.'s occupancy is 60.2%.
Yes — there are 4 photos of San Francisco Health Care and Rehab Inc. in the photo gallery on this page.
San Francisco Health Care and Rehab Inc. is located at 1477 Grove St, San Francisco, CA 94117.
(415) 563-0565 will put you in contact with the team at San Francisco Health Care and Rehab Inc..
Yes — San Francisco Health Care and Rehab Inc. is a CMS-certified provider of Medicare and Medicaid.
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