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Independent 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.

The Sequoias San Francisco

Independent 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.

The Sequoias San Francisco

1400 Geary Blvd, San Francisco, CA 94109 View map
Overview of The Sequoias San Francisco

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.

(415) 922-9888

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.
4/5
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 21m per day

This home provides 45% 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 400

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the California average
Occupancy rate 79.5%
Residents per day 318
Occupancy rate
79.5%
Residents per day
318

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

54% of new residents, often for short stays.

Typical stay 1 - 2 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$35.8M
Surplus of revenue
$1.9M
Voluntary non-profit community Operated by a church.
Home revenue
$35,835,147.00
Surplus of revenue
$1,929,390.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.1M
25.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.8M
Total costs $33.9M
Bed community size
400-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
50 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
80%
9% higher than California average

California average: 73%

Occupied beds
318 / 400
Average residents 87 per day

License Details

Facility TypeRcfe-continuing Care Retirement Community
StatusLicensed
IssuanceMay 21, 1975
CountySAN FRANCISCO

Additional Licensing Details

CMS Certification Number56071

Ownership & Operating Entity

The Sequoias San Francisco is legally operated by Sequoia Living, Inc..

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: High-rise

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Types of Care at The Sequoias San Francisco

Independent Living
Contact The Sequoias San Francisco

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.

11 visits

California average: 16 visits

Breakdown by visit type

4 total complaint visits

7 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

1 total citation

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

California average: 10 citations

1 serious citation

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 3, 2025
Other

2 deficiencies

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

California average: 8 deficiencies

Inspection Report Summary for The Sequoias San Francisco

Most inspections found no deficiencies, with several complaint investigations unsubstantiated, indicating the facility generally meets regulatory standards. The most recent report from October 3, 2025, had no deficiencies and focused on administrative updates related to a change in leadership. A single minor deficiency was noted in May 16, 2025, for unsecured light cleaning supplies, which was isolated and did not involve resident harm or safety risks. Earlier in 2023, the facility was cited once for failing to report COVID-19 outbreaks within the required timeframe, but no fines or enforcement actions were listed. Overall, the facility’s compliance appears stable with no recent serious issues and some improvement over time.

Health Inspection History

Inspections
Total health inspections 3

California average 12.5


Last Health inspection on Nov 2024

Total health citations 12

California average 50.2

Citations per inspection
4

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 12 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

12 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Nov 22, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Nov 22, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 12, 2023
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 12, 2023
Corrected

Compare Independent 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
Peninsula Del Rey
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.

Daly City (St. Francis)
150
Yes
76
3
10
0
5
70.7%
Pdr Subtenant Llc, Srg Califorina Mgmt Llc
Studio / 1 Bed / 2 Bed
Merrill Gardens at Rockridge
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.

Oakland (Shafter)
150
No
96
5
15
3
6
89.3%
Shi-Iii Mg Rockridge Gp Llc;Merrill Gardens Llc
Studio / 1 Bed / 2 Bed
Heritage on the Marina, a CCRC
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 (Marina District)
109
No
96
4
4
0
50
68.8%
R
Studio / 1 Bed / 2 Bed
The Sequoias San Francisco
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).

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.

San Francisco (Japantown)
87
No
99
4
4
1
50
79.5%
Sequoia Living, Inc.
Studio / 1 Bed / 2 Bed
Coventry Place
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)
-
No
99
0
0
0
-
-
-
Studio / 1 Bed / 2 Bed

Living Spaces & Floor Plans

The Sequoias San Francisco Fp4
The Sequoias San Francisco Fp3
The Sequoias San Francisco Fp2
The Sequoias San Francisco Fp1

Places of interest near The Sequoias San Francisco

Address 1.4 miles from city center

Address 1400 Geary Blvd, San Francisco, CA 94109

Calculate Travel Distance to The Sequoias San Francisco

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Staffing Data (Q2 2025)

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

Total staff 95
Employees 54
Contractors 41
Staff to resident ratio 2.50:1
2499900% better than California average

California average ratio: 0.00:1

Avg staff/day 28
Average shift 7.8 hours
0% compared with California average

California average: 7.7 hours

Total staff hours (quarter) 19,827
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
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.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 52
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

16.5%

3,263 contractor hours this quarter

Certified Nursing Assistant: 19 Physical Therapy Assistant: 7 Licensed Practical Nurse: 4 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Registered Nurse: 1 Occupational Therapy Aide: 1 Administrator: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant33195210,71191100%8.8
Registered Nurse121134,90691100%8
Clinical Nurse Specialist2021,0376470%8.6
Licensed Practical Nurse5495806268%6.4
Mental Health Service Worker1014896369%7.8
Nurse Practitioner1014645864%8
Occupational Therapy Aide0113524448%8
Respiratory Therapy Technician0223465965%3.8
Administrator0112643336%8
Physical Therapy Aide0111933437%5.7
Physical Therapy Assistant0771785459%3.1
Speech Language Pathologist0221755662%3.1
Qualified Social Worker011803538%2.3
Occupational Therapy Assistant011401314%3.1
Medical Director0111289%1.5
52 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 70%
9 Licensed Practical Nurse
% of Days 68%
1 Mental Health Service Worker
% of Days 69%
1 Nurse Practitioner
% of Days 64%
1 Occupational Therapy Aide
% of Days 48%
2 Respiratory Therapy Technician
% of Days 65%
1 Administrator
% of Days 36%
1 Physical Therapy Aide
% of Days 37%
7 Physical Therapy Assistant
% of Days 59%
2 Speech Language Pathologist
% of Days 62%
1 Qualified Social Worker
% of Days 38%
1 Occupational Therapy Assistant
% of Days 14%
1 Medical Director
% of Days 9%

Facility Characteristics

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

Total census
38 residents
Residents by payment source
Medicare
3 residents (7.9%)
Private pay or other
35 residents (92.1%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 10.9
65% worse 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. 25.0
121% worse 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 24.0%
117% worse than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.9%
57% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.1%
184% 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 4.4%
164% worse than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
64% better than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
19% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.7%
36% worse than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
88% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.5%
86% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 66.4%
33% worse than California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.5%
12% worse than California average

California average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.1%
55% worse than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
38% worse than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.9%
In line with California average

California average: 93.2%

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for California Seniors

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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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