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Best Nursing Homes in San Francisco, CA

Why trust this guide? Our editorial team analyzed 3 nursing homes in San Francisco, CA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CA
Reviewed by
Jordan Weiss, PhD
Last updated
We analyzed These are the facilities in San Francisco, CA our team has analyzed — not a count of every nursing home provider in San Francisco, CA.
3 homes
Other senior care options in San Francisco:
Assisted Living Memory Care Independent Living

Video Tour: Top-rated Nursing Homes facilities in San Francisco, California.

Watch this Video to see San Francisco's Top-rated Senior Communities
Avg Overall CMS Rating: 3.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in San Francisco, CA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.7/ 5The average Staffing Rating across all CMS-certified nursing homes in San Francisco, CA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.3/ 5The average Health Inspection Rating across all CMS-certified nursing homes in San Francisco, CA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around San Francisco

Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC( (Continuing Care Retirement Communities (CCRC)):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Avenues Transitional Care Center ★ ★ ★ ★ ★
NH
HOS
MC
RC
SNF
San Francisco (Outer Sunset)
140
Facility 140
CA AVG 103
Rank #417 / 1,645
96.1%
Facility 96.1%
CA AVG 75.9%
Rank #190 / 1,452
+27%
4.29
Facility 4.29
CA AVG 4.22
Rank #108 / 288
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +57%+2%
$12.7k
Facility $12.7k
CA AVG $56.5k
Rank #205 / 293
26
Facility 26
CA AVG 50.2
Rank #71 / 290
3.7
Facility 3.7
CA AVG 4.6
Rank #114 / 290
1135A
85
Facility 85
CA AVG 58
Rank #290 / 2,057
Craig Orgill
$22.8MFiscal year ending 12/2023
Facility $22.8MFiscal year ending 12/2023
CA AVG $15.7M
Rank #45 / 259
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
CA AVG $9.0M
Rank #58 / 259
49.3%Fiscal year ending 12/2023
Facility 49.3%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #196 / 259
55963
The Sequoias San Francisco ★ ★ ★ ★ ☆
NH
AL
CCRC(
HOS
MC
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 103
Rank #28 / 1,645
88.0%
Facility 88.0%
CA AVG 75.9%
Rank #401 / 1,452
+16%
5.54
Facility 5.54
CA AVG 4.22
Rank #16 / 288
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +121%+31%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 293
12
Facility 12
CA AVG 50.2
Rank #8 / 290
4.0
Facility 4.0
CA AVG 4.6
Rank #140 / 290
-352-
99
Facility 99
CA AVG 58
Rank #2 / 2,057
Sequoia Living Inc
$34.3MFiscal year ending 12/2023
Facility $34.3MFiscal year ending 12/2023
CA AVG $15.7M
Rank #9 / 259
$11.0MFiscal year ending 12/2023
Facility $11.0MFiscal year ending 12/2023
CA AVG $9.0M
Rank #62 / 259
32.2%Fiscal year ending 12/2023
Facility 32.2%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #258 / 259
56071
San Francisco Health Care and Rehab Inc. ★ ☆ ☆ ☆ ☆
NH
SNF
San Francisco (North Of The Panhandle)
168
Facility 168
CA AVG 103
Rank #266 / 1,645
91.0%
Facility 91.0%
CA AVG 75.9%
Rank #315 / 1,452
+20%
4.00
Facility 4.00
CA AVG 4.22
Rank #151 / 288
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +9%-5%
$152.4k
Facility $152.4k
CA AVG $56.5k
Rank #290 / 293
36
Facility 36
CA AVG 50.2
Rank #123 / 290
5.1
Facility 5.1
CA AVG 4.6
Rank #209 / 290
3153A
96
Facility 96
CA AVG 58
Rank #43 / 2,057
Stan Stukov
$15.0MFiscal year ending 12/2023
Facility $15.0MFiscal year ending 12/2023
CA AVG $15.7M
Rank #118 / 259
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
CA AVG $9.0M
Rank #109 / 259
60.1%Fiscal year ending 12/2023
Facility 60.1%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #75 / 259
56272

Rank badges are statewide: each community is ranked against every CA community we track that reports that metric, not just the 3 analyzed for San Francisco.

Nursing Home Explorer
Exterior view of The Avenues Transitional Care Center
Explore open rooms
Overview of The Avenues Transitional Care Center

Maintain independence in retirement with The Avenues Transitional Care Center, an astounding community in San Francisco, CA, offering rehabilitation and therapy. Residents can keep their peace of mind with a wide range of care services, including pain management, diabetic management, hospice program, wound care, and dementia care. The community ensures residents receive the right care for their unique needs by creating personalized care plans.

Residents will surely recover without hassle, accompanied by the community’s comprehensive care and dedicated services. With an on-site dietitian, residents delight with delicious and well-balanced meals that satisfy their dietary needs and preferences. The community is ideal for those seeking exceptional care for their unique needs, ensuring the finest retirement experience.

Phone: (415) 661-8787

Contact The Avenues Transitional Care Center

Exterior view of The Sequoias facility entrance
Explore open rooms
Overview of The Sequoias San Francisco
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Age gracefully with The Sequoias San Francisco, a dedicated community in San Francisco, CA, that offers assisted living, memory care, and skilled nursing. Residents here receive the highest quality of care from a compassionate and highly trained team attending to their needs 24/7. Purposely designed and spacious studio and two-bedroom floor plans are available in a cozy and nurturing environment for residents to feel a sense of belonging.

From fun games to engaging exercises, residents are encouraged to live actively and remain socially engaged with the community’s unending array of recreational activities and engaging programs. To satisfy residents’ dietary needs and preferences, delicious and healthy dining options are served for a delightful dining experience. The community is ideal for those seeking a place to spend their golden years, especially with its state-of-the-art amenities and exceptional services.

Phone: (415) 922-9888

Contact The Sequoias San Francisco

Exterior view of San Francisco Health Care facility
Overview of San Francisco Health Care and Rehab
X (Twitter)

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.

Phone: (415) 563-0565

Contact San Francisco Health Care and Rehab Inc.

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction

San Francisco Nursing Home Facilities Overview

  • Avg payroll costs: $7,273,207.45 (California avg: $6,440,675.14)
  • Avg home costs: $12,231,302.73 (California avg: $7,865,538.87)
  • Avg occupancy: 85.67% (California avg: 87.25%)
  • Avg bed count: 97 (California avg: 109)
  • Avg home revenue: $16,995,475.91 (California avg: $15,059,642.16)

Community-level financial and occupancy data

  • PACIFIC HEIGHTS TRANSITIONAL CARE: 93.75% occupancy, 120 beds, $19,217,009.00 home revenue, $8,292,551.00 payroll costs, $10,894,978.00 home costs.
  • CENTRAL GARDENS POST ACUTE: 90.98% occupancy, 92 beds, $16,768,558.00 home revenue, $6,549,362.00 payroll costs, $8,779,731.00 home costs.
  • SAN FRANCISCO HEALTH CARE: 59.46% occupancy, 168 beds, $16,122,174.00 home revenue, $7,542,125.00 payroll costs, $8,002,292.00 home costs.
  • TUNNELL SKILLED NURSING & REHAB CTR: 94.61% occupancy, 178 beds, $29,218,118.00 home revenue, $7,974,082.00 payroll costs, $20,709,383.00 home costs.
  • LAWTON SKILLED NURSING & REHAB CTR: 84.26% occupancy, 60 beds, $13,067,456.00 home revenue, $4,137,441.00 payroll costs, $7,365,689.00 home costs.
  • SAN FRANCISCO POST ACUTE: 95.28% occupancy, 53 beds, $10,442,784.00 home revenue, $4,452,651.00 payroll costs, $5,754,137.00 home costs.
  • VICTORIAN POST ACUTE: 94.89% occupancy, 90 beds, $13,666,804.00 home revenue, $6,243,274.00 payroll costs, $8,827,737.00 home costs.
  • THE AVENUES TRANSITIONAL CARE CENTER: 96.50% occupancy, 140 beds, $21,231,839.00 home revenue, $8,590,146.00 payroll costs, $11,186,899.00 home costs.
View Chart Data Table
MetricSan FranciscoCalifornia
Avg payroll costs$7,273,207.45$6,440,675.14
Avg home costs$12,231,302.73$7,865,538.87
Avg occupancy85.67%87.25%
Avg bed count97109
Avg home revenue$16,995,475.91$15,059,642.16
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
PACIFIC HEIGHTS TRANSITIONAL CARE93.75%120$19,217,009.00$8,292,551.00$10,894,978.0018.03%65.60%16.37%
CENTRAL GARDENS POST ACUTE90.98%92$16,768,558.00$6,549,362.00$8,779,731.0039.88%45.11%15.01%
SAN FRANCISCO HEALTH CARE59.46%168$16,122,174.00$7,542,125.00$8,002,292.0020.63%61.47%17.90%
TUNNELL SKILLED NURSING & REHAB CTR94.61%178$29,218,118.00$7,974,082.00$20,709,383.0011.37%68.82%19.81%
LAWTON SKILLED NURSING & REHAB CTR84.26%60$13,067,456.00$4,137,441.00$7,365,689.0031.24%50.92%17.84%
SAN FRANCISCO POST ACUTE95.28%53$10,442,784.00$4,452,651.00$5,754,137.0050.48%27.37%22.15%
VICTORIAN POST ACUTE94.89%90$13,666,804.00$6,243,274.00$8,827,737.0041.68%46.00%12.32%
THE AVENUES TRANSITIONAL CARE CENTER96.50%140$21,231,839.00$8,590,146.00$11,186,899.0014.06%69.43%16.51%

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Frequently Asked Questions about Nursing Homes in San Francisco, CA

What's the difference between assisted living and a nursing home in California?

Assisted living in California is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does California Medicaid cover nursing home care?

Yes — California Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 3 nursing homes in San Francisco, CA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in San Francisco, CA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in San Francisco, CA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in San Francisco, CA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

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