San Francisco Towers

Nursing Home, Assisted Living, Independent Living & Memory Care · San Francisco, CA

CMS overall rating

1661 Pine St, San Francisco, CA 94109 View map

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San Francisco Towers accepts Medicare and private pay.

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San Francisco Towers accepts Medicare and private pay.

Overview of San Francisco Towers

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.

Facility Direct Line (415) 776-0500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to California state averages

Total nursing care / resident

6h 24m per day

This facility California avg (4h 13m per day)

vs California avg

+51%

1 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +181% above state avg

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.	1h 50m per day	▲ 181% 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.	1h 0m per day	▼ 18% 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 13m per day	▲ 22% State avg: 2h 38m 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.	5h 17m per day	▲ 30% 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.	13m per day	▲ 168% 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.	1h 24m per day	▲ 181% State avg: 30m per day · National avg: 28m per day

Capacity and availability

54 days

350-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

28 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 99 / 100

Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate

100%

Higher than the California average: 72.8%

Occupied beds

350 / 350

Average occupied beds in California homes 87 beds

Facility TypeRcfe-continuing Care Retirement Community

StatusLicensed

IssuanceOctober 31, 1997

CountySan Francisco

CMS Certification Number555728

San Francisco Towers is legally operated by Front Porch Communities And Services, and administered by Mark Nitsche.

Since 2021 · 5 years of data 0 citations 13 total visits 5 complaint visits 4 official inspections 4 complaint investigations

Inspection Score

12 points above the California average for assisted living residences (81/100)

Inspection Scorecard 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.

Since 2021 vs. California state average

Overall vs. CA average

Latest Inspection February 4, 2026

Citations Citations are formal regulatory issues recorded during state inspections.	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 assisted living residence (0 vs. CA avg 10).↓ 100% better

Standout metricNo citations on file since 2021 — the California average is 10.

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.	This Facility	CA Average	vs. CA Avg
Total visits Combined count of complaint visits, other regulatory visits, and official scheduled inspections.	13	16	This facility has 19% fewer total visits than a typical California assisted living residence (13 vs. CA avg 16).↓ 19% better
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.	5	13	This facility has 62% fewer complaint visits than a typical California assisted living residence (5 vs. CA avg 13).↓ 62% better Rank #592 / 1397 Complaint visits — State benchmarked This home is ranked 592nd 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. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.	4	7	This facility has 43% fewer other visits than a typical California assisted living residence (4 vs. CA avg 7).↓ 43% 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
Complaint investigations On-site investigations triggered by complaints filed with California regulators.	4	10	This facility has 60% fewer complaint investigations than a typical California assisted living residence (4 vs. CA avg 10).↓ 60% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on February 4, 2026, found no deficiencies and no substantiated abuse in a complaint investigation.
The October 17, 2024, annual inspection cited three technical deficiencies involving outdated physician reports, staff first aid certifications, and medication reconciliation in the memory care unit.
The October 20, 2025, annual inspection found the facility fully compliant with no deficiencies and all safety and documentation requirements met.

Show Inspection Reports

Inspections since 2019

Total health inspections 3

California average 12.5

Last Health inspection on Jun 2024

Total health citations

California average 50.2

Citations per inspection

3.33

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.

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than California average

California average: 0.4

Serious health citations

100% better than California average

California average: 1

0 critical citations California average: 0.4

0 serious citations California average: 1

10 moderate citations California average: 47.2

0 minor citations California average: 1.5

Citations history (last 7 years)

Nutrition moderate citation Jun 07, 2024

Corrected

Pharmacy moderate citation Jun 07, 2024

Corrected

Pharmacy moderate citation Jun 07, 2024

Corrected

Infection Control moderate citation Mar 16, 2023

Corrected

Total staff 43

Employees 30

Contractors 13

Staff to resident ratio 2.05 : 1

13% more staff per resident than California average

Avg staff/day 19

Average shift 7.2 hours

6% worse than California average

Total staff hours (quarter) 12,654

Nursing staff breakdown

8.1 hours

8 hours

8.1 hours

Contractor staffing

1,390 contractor hours this quarter

Speech Language Pathologist: 3 Occupational Therapy Assistant: 3 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Medical Director: 1 Occupational Therapy Aide: 1 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	12	0	12	5,137	92	100%	8.1
Registered Nurse	6	0	6	2,047	92	100%	8.1
RN Director of Nursing	2	0	2	859	83	90%	8
Licensed Practical Nurse	3	0	3	736	70	76%	8
Other Dietary Services Staff	3	0	3	635	74	80%	7
Administrator	1	0	1	512	64	70%	8
Occupational Therapy Aide	0	1	1	488	61	66%	8
Dental Services Staff	1	0	1	468	58	63%	8.1
Clinical Nurse Specialist	1	0	1	445	56	61%	7.9
Nurse Practitioner	1	0	1	424	53	58%	8
Respiratory Therapy Technician	0	2	2	356	63	68%	5.2
Physical Therapy Assistant	0	2	2	321	68	74%	4.7
Speech Language Pathologist	0	3	3	147	52	57%	2.8
Qualified Social Worker	0	1	1	35	33	36%	1.1
Occupational Therapy Assistant	0	3	3	29	6	7%	4.8
Medical Director	0	1	1	14	14	15%	1

12 Certified Nursing Assistant

% of Days 100%

6 Registered Nurse

% of Days 100%

2 RN Director of Nursing

% of Days 90%

3 Licensed Practical Nurse

% of Days 76%

3 Other Dietary Services Staff

% of Days 80%

1 Administrator

% of Days 70%

1 Occupational Therapy Aide

% of Days 66%

1 Dental Services Staff

% of Days 63%

1 Clinical Nurse Specialist

% of Days 61%

1 Nurse Practitioner

% of Days 58%

2 Respiratory Therapy Technician

% of Days 68%

2 Physical Therapy Assistant

% of Days 74%

3 Speech Language Pathologist

% of Days 57%

1 Qualified Social Worker

% of Days 36%

3 Occupational Therapy Assistant

% of Days 7%

1 Medical Director

% of Days 15%

View All Staffing Data in San Francisco

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 5.6

16% better than California average

California average: 6.6

Functional decline score 9.9

13% better than California average

California average: 11.3

Long-stay resident measures

Above average California avg: 4.2

Need for Help with Daily Activities Increased 3.3%

70% better than California average

California average: 11.1%

Low Risk Residents with Bowel/Bladder Incontinence 16.4%

45% worse than California average

California average: 11.3%

Falls with Major Injury 0.0%

100% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers 4.8%

In line with California average

California average: 5.0%

Urinary Tract Infection 2.6%

106% worse than California average

California average: 1.2%

Lost Too Much Weight 14.3%

239% worse than California average

California average: 4.2%

Depressive Symptoms 3.0%

55% better than California average

California average: 6.7%

Antipsychotic Use 7.7%

24% better than California average

California average: 10.1%

Pneumococcal Vaccine 100.0%

In line with California average

California average: 98.5%

Short-stay resident measures

Significantly above average California avg: 3.5

Pneumococcal Vaccine 100.0%

6% better than California average

California average: 94.0%

Antipsychotic medication increase 0.0%

100% better than California average

California average: 1.5%

Influenza Vaccine 98.4%

6% better than California average

California average: 93.2%

Re-hospitalized after SNF stay 24.1%

In line with California average

California average: 23.2%

Emergency department visits 18.3%

63% worse than California average

California average: 11.2%

Falls with major injury 0.0%

100% better than California average

California average: 0.8%

Ability to care for self at discharge 60.7%

13% better than California average

California average: 53.7%

Successful return to home or community 67.3%

33% better than California average

California average: 50.6%

Breakdown by payment type

Medicare

75% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

25% of new residents, often for short stays.

Typical stay 10 - 11 months

Total residents 21

Medicare

23.8% of residents

Private pay or other

76.2% of residents

Programs & Services

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Financial Trends

Historical financial and operational data for San Francisco Towers from 2012–2024, based on CMS SNF Cost Reports.

Occupancy Rate 8.1% ↓ 47.5pp vs 2023

Net Patient Income -$31.9M ↓ ~$1.1M vs 2023

Payroll Costs $10.3M ↓ ~$1.2M vs 2023

Operating Margin -701.9% ↑ 186.1pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	16.1%	67.3%	69.7%	69.5%	57.2%	48.2%	97.8%	96.0%	95.8%	95.3%	10.2%	55.7%	8.1%
Beds	55	55	55	55	55	55	309	309	309	309	281	39	350
Net Income	$3,128,951	$3,567,960	$3,356,205	$3,219,201	$3,958,545	$1,307,075	$3,475,411	$4,220,679	$3,970,670	$4,515,837	$95,495,132	$1,866,628	$6,337,599
Gross Revenue	$3,758,867	$18,773,778	$19,633,420	$20,921,690	$23,566,411	$24,657,974	$23,282,752	$22,205,225	$24,127,689	$25,120,196	$27,474,855	$4,886,507	$6,626,850
Operating Expenses	$23,088,419	$24,572,549	$25,794,491	$26,826,874	$27,245,481	$28,172,884	$27,162,250	$27,745,794	$29,299,701	$30,829,789	$33,277,312	$34,239,525	$36,441,172
Net Patient Income	-$19,368,494	-$5,943,230	-$6,303,178	-$6,215,525	-$6,060,202	-$6,175,819	-$4,949,413	-$5,441,162	-$6,103,053	-$7,723,983	-$7,736,881	-$30,773,955	-$31,897,071
Net Patient Revenue	$3,719,925	$18,629,319	$19,491,313	$20,611,349	$21,185,279	$21,997,065	$22,212,837	$22,304,632	$23,196,648	$23,105,806	$25,540,431	$3,465,570	$4,544,101
Payroll Costs	$8,972,828	$9,916,959	$10,281,816	$10,449,473	$10,447,145	$10,809,894	$10,146,675	$10,618,142	$11,542,961	$12,021,560	$11,506,381	$11,512,469	$10,326,952
Operating Margin %	-520.7%	-31.9%	-32.3%	-30.2%	-28.6%	-28.1%	-22.3%	-24.4%	-26.3%	-33.4%	-30.3%	-888.0%	-701.9%
Medicare %	70.4%	14.0%	11.7%	14.0%	24.8%	25.5%	1.5%	1.2%	1.5%	1.2%	16.8%	20.0%	15.3%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%
Private %	29.6%	86.0%	88.3%	86.0%	75.2%	74.5%	98.5%	98.8%	98.5%	98.8%	83.2%	80.0%	84.7%
Net Patient Revenue/Day	$1,148	$1,380	$1,394	$1,478	$1,840	$2,275	$201	$206	$215	$215	$2,433	$437	$436
Cost/Day	$7,128	$1,820	$1,844	$1,924	$2,366	$2,913	$246	$256	$271	$287	$3,170	$4,322	$3,496
Avg Length of Stay	30.6 days	100.8 days	100.6 days	94.9 days	72.9 days	49.9 days	52.5 days	71.9 days	57.5 days	91.3 days	69.4 days	62.4 days	54.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Net patient revenue

$4.5M

Net patient income

-$31.9M

Nonprofit Nonprofit Corporation

Net patient revenue

$4.5M

Net patient income

-$31.9M

Other income

$38.2M

Payroll costs

$10.3M 227.3% of net patient revenue

Other operating costs

$26.1M

Total costs

$36.4M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (75% of admissions), and a typical Medicare stay runs around 19 days.

Coverage residents most often arrive under.

Medicare 75%

Private pay 25%

Coverage residents most often leave under.

Medicare 66%

Private pay 34%

San Francisco Towers Home Overview

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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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The information below is reported by the California Department of Social Services and Department of Public Health.


San Francisco Towers	AL NH IL MC	San Francisco (Cathedral Hill)	-	350 Facility 350 CA AVG 103 Rank #36 / 1657	-	99 Facility 99 CA AVG 57 Rank #2 / 2092	1 Bed / 2 Bed
The Sequoias San Francisco	AL HC MC NH RC	San Francisco (Japantown)	-	400 Facility 400 CA AVG 103 Rank #28 / 1657	-	99 Facility 99 CA AVG 57 Rank #2 / 2092	Studio / 1 Bed / 2 Bed
The Avenues Transitional Care Center	AL HC MC NC NH RC	San Francisco (Outer Sunset)	-	140 Facility 140 CA AVG 103 Rank #419 / 1657	A	85 Facility 85 CA AVG 57 Rank #290 / 2092	Private / Shared Rooms
St. Andrew	AL NH IL	Daly City (St. Francis)	-	186 Facility 186 CA AVG 103 Rank #191 / 1657	-	69 Facility 69 CA AVG 57 Rank #768 / 2092	Studio / 1 Bed

Nursing Home Explorer

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+

General California resident, Medi-Cal eligible, nursing home risk.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

Benefits

In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+

General California resident, Medicaid-eligible or low-income.

Income Limits ~$1,732/month individual, Medi-Cal threshold

Asset Limits $2,000 individual

Can hire family as caregivers.

Benefits

Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+

General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 38 counties; waitlists common.

Benefits

Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+

General California resident, own and live in home, 40% equity.

Income Limits (2025) ~$51,500/year household, adjusted annually

Asset Limits Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits

Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled

General California resident, Medi-Cal-eligible, nursing home-eligible.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits

Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —

General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.

Asset Limits Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

What neighborhood is San Francisco Towers in?

San Francisco Towers is in the Cathedral Hill neighborhood of San Francisco.

Who is the owner of San Francisco Towers?

San Francisco Towers is legally operated by Front Porch Communities And Services, and administered by Mark Nitsche.

Is San Francisco Towers in a walkable area?

San Francisco Towers has a walk score of 99. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the occupancy rate at San Francisco Towers?

San Francisco Towers's occupancy is 100%.

Does San Francisco Towers operate as a for-profit or non-profit?

San Francisco Towers is registered as a non-profit in CA.

Who is the administrator of San Francisco Towers?

Mark Nitsche is the administrator of San Francisco Towers.

How many beds does San Francisco Towers have?

San Francisco Towers has 350 beds.

Guides for Better Senior Living

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San Francisco Towers

Overview of San Francisco Towers

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact San Francisco Towers

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

12 Certified Nursing Assistant

6 Registered Nurse

2 RN Director of Nursing

3 Licensed Practical Nurse

3 Other Dietary Services Staff

1 Administrator

1 Occupational Therapy Aide

1 Dental Services Staff

1 Clinical Nurse Specialist

1 Nurse Practitioner

2 Respiratory Therapy Technician

2 Physical Therapy Assistant

3 Speech Language Pathologist

1 Qualified Social Worker

3 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

CCRC

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

San Francisco Towers Home Overview

Places of interest near San Francisco Towers

Calculate Travel Distance to San Francisco Towers

Compare Assisted Living around San Francisco

Financial Assistance for Assisted Living in California

Multipurpose Senior Services Program

In-Home Supportive Services (IHSS)

Multipurpose Senior Services Program (MSSP)

Property Tax Postponement Program (PTP)

Assisted Living Waiver (ALW)

California CARES Program

Guides for Better Senior Living

Financial Assistance for
Assisted Living in California