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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.
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.
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 |
|---|---|---|
|
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.
| 4h 31m per day |
Higher than the California average: 72.8%The Sequoias San Francisco is legally operated by Sequoia Living, Inc., and administrated by Terence Tumbale.
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.
| 1 | 10 | This facility has 90% fewer total citations than a typical California nursing home (1 vs. CA avg 10).↓ 90% better |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 1 | 3 | This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 0 | 4 | This facility has 100% fewer moderate citations (type b) than a typical California nursing home (0 vs. CA avg 4).↓ 100% better |
|
Citations per year
Average citations per year since 2021.
| 0.2 | 2 | This facility has 90% fewer citations per year than a typical California nursing home (0.2 vs. CA avg 2).↓ 90% better |
|
Citations per inspection
Average citations per inspection.
| 0.1 | 3.3 | This facility has 97% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 3.3).↓ 97% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 14 | 16 | This facility has 13% fewer total visits than a typical California nursing home (14 vs. CA avg 16).↓ 13% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 13 | This facility has 69% fewer complaint visits than a typical California nursing home (4 vs. CA avg 13).↓ 69% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 6 | 7 | This facility has 14% fewer other visits than a typical California nursing home (6 vs. CA avg 7).↓ 14% 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 only one minor deficiency cited for unsecured light cleaning supplies during the May 16, 2025 annual inspection. Multiple complaint investigations between 2024 and 2026 found no substantiated allegations regarding resident care, social interaction, or dietary needs, and no deficiencies were cited in those visits. The facility’s record shows consistent compliance with licensing requirements and no enforcement actions or fines reported in recent inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Nov 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 12 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.
1999900% better than California average
0% compared with 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.
7.5 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.
7.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,454 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 1 | 31 | 9,276 | 92 | 100% | 8.1 |
| Registered Nurse | 15 | 0 | 15 | 4,237 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 9 | 1 | 10 | 1,158 | 83 | 90% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 993 | 65 | 71% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 473 | 62 | 67% | 7.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 392 | 49 | 53% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 287 | 62 | 67% | 4.6 |
| Administrator | 0 | 1 | 1 | 176 | 22 | 24% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 153 | 61 | 66% | 2.5 |
| Qualified Social Worker | 0 | 1 | 1 | 133 | 40 | 43% | 3.3 |
| Physical Therapy Assistant | 0 | 6 | 6 | 94 | 33 | 36% | 2.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 83 | 33 | 36% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 14 | 15% | 4.3 |
| Medical Director | 0 | 1 | 1 | 10 | 7 | 8% | 1.5 |
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.
10.9
65% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.0
121% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
117% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
18.9%
57% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.1%
184% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
164% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.8%
64% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.5%
19% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
5.7%
36% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.8%
88% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.5%
86% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
33% worse than California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
12% worse than California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.1%
55% worse than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
38% worse than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
38Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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 The Sequoias San Francisco 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 #70 / 347Payroll — State benchmarkedThis home is ranked 70th 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.
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: High-rise
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.4 miles from city center
Estimated distance in miles from San Francisco's city center to The Sequoias San Francisco's address, calculated via Google Maps.
Add your location
The Sequoias San Francisco is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
| 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) | 400 | 79.5% | -6% | 6.36 | +130% | +51% | $0 | 12 | 4.0 | - | 37 | 99 | Sequoia Living Inc | $35.8M | $12.1M | 33.8% | 56071 | ||||
| Heritage on the Marina, a CCRC | - |
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 (Marina District) | 109 | 68.8% | -19% | - | - | - | - | - | - | - | - | - | - | - | 96 | #N/A | $1.8M | $1.5M | 86.6% | 555888 |
The Sequoias San Francisco is in the Japantown neighborhood of San Francisco.
The legal owner and operator of The Sequoias San Francisco is Sequoia Living, Inc..
The Sequoias San Francisco has a walk score of 99. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
The Sequoias San Francisco's occupancy is 88%.
Terence Tumbale is the administrator of The Sequoias San Francisco.
The Sequoias San Francisco has 400 beds.
The Sequoias San Francisco has had 1 recently reported deficiency.
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