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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
San Francisco Towers is a vibrant and trusted community in the heart of San Francisco, emphasizing the importance of togetherness and support. The community’s mission is to provide a welcoming environment where residents thrive, even during challenging times, through the care of dedicated staff and virtual events that foster connection. Rooted in values of community and resilience, San Francisco Towers is committed to creating a supportive living experience for all.
The community offers a range of amenities and facilities designed to enhance residents’ lives. Nestled in Pacific Heights, near Nob Hill and Fillmore Street, the prime location allows residents to explore the best of San Francisco. Engaging events, from classes and concerts to wellness programs, contribute to a dynamic calendar of activities. San Francisco Towers provides a variety of amenities, including an indoor swimming pool, a cozy library, and a rooftop garden, creating an environment where residents can relax and live their best lives. Additionally, the community’s comprehensive services, spanning healthcare, dining, and wellness, ensure residents have the support they need at every stage, fostering positive aging and overall well-being.
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 8th out of 294 homes in California.| Staff type | Hours / day | 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.
| 2h 6m per day | ▲ 223% 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.
| 49m per day | ▼ 33% 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.
| 3h 19m per day | ▲ 26% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 5h 42m per day | ▲ 40% 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.
| 14m per day | ▲ 180% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 1h 28m per day | ▲ 193% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
75% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #59 / 299Payroll — state benchmarkedThis home is ranked 59th out of 299 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the California average: 72.8%San Francisco Towers is legally operated by Front Porch Communities And Services, and administrated by Mark Nitsche.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
California average: 16 visits
5 total complaint visits
4 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
13 total complaint visits
7 other visits
Inspections conducted in response to complaints filed by residents, families, staff, or others about possible problems at the facility.
Investigations can have many visits.
California average: 10 complaint investigations
Routine inspections conducted by state regulators to evaluate whether the facility meets federal and state care and safety standards.
California average: 4 official inspections
A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.
California average: 3 serious citations
A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.
California average: 4 moderate citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
California average: 8 deficiencies
This facility’s inspection record is mostly clean, with no deficiencies cited in the two most recent inspections on February 4, 2026, and October 20, 2025, including complaint investigations that found no substantiated violations. The last inspection with deficiencies was on October 17, 2024, when three technical violations were flagged for outdated physician reports, staff first aid certifications, and medication reconciliation in the memory care unit. Complaint investigations over the past three years consistently found allegations unsubstantiated or unfounded, showing a stable compliance trend.
California average 12.5
Last Health inspection on Jun 2024
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.
All 10 citations resulted from standard inspections.
100% better than California averageCalifornia average: 0.4
0
100% better than California averageCalifornia average: 1
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 07, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 07, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 07, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 16, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| San Francisco Towers |
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 (Cathedral Hill) | 350 | No | 99 | 4 | 5 | 0 | 28 | 100.0% | - | Front Porch Communities And Services | 1 Bed / 2 Bed |
| Coterie Cathedral Hill |
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 (Cathedral Hill) | 260 | No | 99 | 3 | 19 | 2 | 4 | 78.8% | A+ | Van Ness Opco Tenant Llc; Atria Management Company | Studio / 1 Bed / 2 Bed |
| Merced Hampshire |
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.
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 (Mission District) | 33 | No | 94 | 0 | 0 | 0 | - | - | - | - | Private / Shared Rooms |
| Merced Residential Care III |
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.
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 (Oceanview) | 14 | No | 82 | 3 | 2 | 2 | 25 | 100.0% | - | Hafco, Inc. | Studio |
| Merced Residential Care II |
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.
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 (Oceanview) | 6 | No | 82 | 5 | 0 | 1 | 22 | 66.7% | - | Hafco, Inc. | Studio |
1.7 miles from city center
Estimated distance in miles from San Francisco's city center to San Francisco Towers's address, calculated via Google Maps.
— 0.52 miles to nearest hospital (Stroke Care Center: California Pacific Medical Center: Pacific Campus)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
2285614% better than California averageCalifornia average ratio: 0.00:1
0% compared with California averageCalifornia average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
1,363 contractor hours this quarter
| Certified Nursing Assistant | 14 | 2 | 16 | 4,937 | 91 | 100% | 8 |
| Registered Nurse | 6 | 0 | 6 | 2,110 | 91 | 100% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 939 | 87 | 96% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 572 | 73 | 80% | 7.8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 489 | 61 | 67% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 474 | 61 | 67% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Licensed Practical Nurse | 3 | 0 | 3 | 377 | 44 | 48% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 314 | 56 | 62% | 4.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 297 | 61 | 67% | 4.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 120 | 46 | 51% | 2.6 |
| Qualified Social Worker | 0 | 1 | 1 | 61 | 45 | 49% | 1.4 |
| Medical Director | 0 | 1 | 1 | 38 | 13 | 14% | 2.9 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 28 | 5 | 5% | 4.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
21Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
5.6
16% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
13% better than 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
3.3%
70% better than California averageCalifornia average: 11.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
45% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
2.6%
106% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
14.3%
239% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
3.0%
55% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
7.7%
24% better 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%
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
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
6% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
In line with California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.3%
63% 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.
60.7%
13% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
67.3%
33% better than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for San Francisco Towers based on CMS SNF Cost Reports.
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