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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 346 homes in California. 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.
| 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 |
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.
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.
| 13 | 16 | This facility has 19% fewer total visits than a typical California nursing home (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 nursing home (5 vs. CA avg 13).↓ 62% better |
|
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 nursing home (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 nursing home (4 vs. CA avg 10).↓ 60% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia 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
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2047519% better than California average
6% 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 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.
8.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,390 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
75% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
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.
Historical financial and operational data for San Francisco Towers based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #100 / 347Payroll — State benchmarkedThis home is ranked 100th out of 347 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
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)
Add your location
San Francisco Towers is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
San Francisco Towers is in the Cathedral Hill neighborhood of San Francisco.
The legal owner and operator of San Francisco Towers is Front Porch Communities And Services.
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.
San Francisco Towers's occupancy is 100%.
Mark Nitsche is the administrator of San Francisco Towers.
San Francisco Towers has 350 beds.
(415) 776-0500 will put you in contact with the team at San Francisco Towers.
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