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Assisted Living in San Francisco

CMS overall rating Info 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.

San Francisco Towers

Assisted Living in San Francisco

CMS overall rating Info 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.

San Francisco Towers

1661 Pine St, San Francisco, CA 94109 View map
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.

(415) 776-0500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
California average: 3.6/5
Health Inspection Info 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.
5/5
California average: 3.2/5
Staffing Info 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.
5/5
California average: 3.5/5
Quality Measures Info 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.
5/5
California average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
6h 24m per day

This home provides 46% more nursing time per resident than the California average.

California average: 4h 23m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 350

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the California average
Occupancy rate 91.1%
Residents per day 319
Occupancy rate
91.1%
Residents per day
319

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for
Short stays Recovery Medicare-covered care

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

Finances and operations

Voluntary non-profit community
Home revenue
$44.9M
Surplus of revenue
$6.3M
Voluntary non-profit community
Home revenue
$44,861,520.00
Surplus of revenue
$6,337,599.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.6M
21.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$28.9M
Total costs $38.5M
Bed community size
350-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
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
91%
25% higher than California average

California average: 73%

Occupied beds
319 / 350
Average residents 87 per day

License Details

Facility TypeRcfe-continuing Care Retirement Community
StatusLicensed
IssuanceOctober 31, 1997
CountySAN FRANCISCO

Additional Licensing Details

CMS Certification Number555728

Ownership & Operating Entity

San Francisco Towers is legally operated by Front Porch Communities And Services.

Inspection History

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.

9 visits

California average: 16 visits

Breakdown by visit type

5 total complaint visits

4 other visits Info 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.

California average

13 total complaint visits

7 other visits

4 complaint investigations Info 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

4 official inspections Info Routine inspections conducted by state regulators to evaluate whether the facility meets federal and state care and safety standards.

California average: 4 official inspections

0 serious citations

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

0 moderate 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

Latest inspection

Date October 20, 2025
Annual Inspection

3 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

California average: 8 deficiencies

Inspection Report Summary for San Francisco Towers

Most inspections found no deficiencies, with the facility generally maintaining compliance with safety, infection control, and medication management standards. The most recent report from October 20, 2025, was perfect with no deficiencies cited. Earlier, on October 17, 2024, a few minor technical issues were noted involving outdated physician reports, staff first aid certifications, and medication reconciliation in the memory care unit, but these were isolated and not severe. Several complaint investigations over the years were unsubstantiated, including allegations about medication errors, supervision, and resident assessments. Overall, the facility appears to have improved since those minor findings, with recent inspections showing no deficiencies.

Health Inspection History

Inspections
Total health inspections 3

California average 12.5


Last Health inspection on Jun 2024

Total health citations 10

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 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 0
100% better than California average

California average: 1

0 critical citations More info California average: 0.4

0 serious citations More info California average: 1

10 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 07, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 07, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 07, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 16, 2023
Corrected

Compare Assisted Living around San Francisco The information below is reported by the California Department of Social Services and Department of Public Health.

Filter by care type
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
18
2
4
79.6%
A+
Van Ness Opco Tenant Llc; Atria Management Company
Studio / 1 Bed / 2 Bed
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)
39
No
99
4
5
0
28
91.1%
-
Front Porch Communities And Services
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
1
1
22
66.7%
-
Hafco, Inc.
Studio

San Francisco Towers Home Overview

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Places of interest near San Francisco Towers

Address 1.7 miles from city center — 0.52 miles to nearest hospital (Stroke Care Center: California Pacific Medical Center: Pacific Campus)

Address 1661 Pine St, San Francisco, CA 94109

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 48
Employees 31
Contractors 17
Staff to resident ratio 2.29:1
2285614% better than California average

California average ratio: 0.00:1

Avg staff/day 18
Average shift 7.4 hours
0% compared with California average

California average: 7.7 hours

Total staff hours (quarter) 12,186
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

11.2%

1,363 contractor hours this quarter

Occupational Therapy Assistant: 4 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 3 Certified Nursing Assistant: 2 Speech Language Pathologist: 2 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant142164,93791100%8
Registered Nurse6062,11091100%8
RN Director of Nursing2029398796%7.9
Other Dietary Services Staff2025727380%7.8
Administrator1015046369%8
Dental Services Staff1014896167%8
Clinical Nurse Specialist1014746167%7.8
Occupational Therapy Aide0114725965%8
Nurse Practitioner1014565763%8
Licensed Practical Nurse3033774448%8
Respiratory Therapy Technician0333145662%4.8
Physical Therapy Assistant0332976167%4.8
Speech Language Pathologist0221204651%2.6
Qualified Social Worker011614549%1.4
Medical Director011381314%2.9
Occupational Therapy Assistant0442855%4.7
16 Certified Nursing Assistant
% of Days 100%
6 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 96%
2 Other Dietary Services Staff
% of Days 80%
1 Administrator
% of Days 69%
1 Dental Services Staff
% of Days 67%
1 Clinical Nurse Specialist
% of Days 67%
1 Occupational Therapy Aide
% of Days 65%
1 Nurse Practitioner
% of Days 63%
3 Licensed Practical Nurse
% of Days 48%
3 Respiratory Therapy Technician
% of Days 62%
3 Physical Therapy Assistant
% of Days 67%
2 Speech Language Pathologist
% of Days 51%
1 Qualified Social Worker
% of Days 49%
1 Medical Director
% of Days 14%
4 Occupational Therapy Assistant
% of Days 5%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
21 residents
Residents by payment source
Medicare
5 residents (23.8%)
Private pay or other
16 residents (76.2%)
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.9
13% better than California average

California average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 3.3%
70% better than California average

California average: 11.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.4%
45% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
In line with California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.6%
106% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 14.3%
239% worse than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.0%
55% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.7%
24% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
6% better than California average

California average: 93.2%

Guides for Better Senior Living

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

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

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

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

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

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

California CARES Program

CA CARES

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

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

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

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