Occupancy rate
88%
21% higher than California averageCalifornia average: 73%
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.
The Sequoias San Francisco
Independent Living in San Francisco
CMS overall rating
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 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
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 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.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 8th out of 294 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.
This home is ranked 8th out of 294 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.
6h 21m per day
vs California avg
+45%
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
400
Avg. Length of Stay
168 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
$35.8M
Surplus of revenue
$1.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$33.9M
400-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
50 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
21% higher than California averageOccupied beds
352 / 400
Average residents
87 per day
Facility TypeRcfe-continuing Care Retirement Community
StatusLicensed
IssuanceMay 21, 1975
CountySan Francisco
CMS Certification Number56071
The Sequoias San Francisco is legally operated by Sequoia Living, Inc., and administrated by Terence Tumbale.
What does this home offer?
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
Types of Care at The Sequoias San Francisco
Independent Living
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.
14 visits
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
California average: 16 visits
Breakdown by visit type
4 total complaint visits
6 other visits
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
Show Inspection Reports
4 complaint investigations
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
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
January 15, 2026
Complaint Investigation3 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
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 22, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 22, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 22, 2024
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 12, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 12, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 12, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
May 12, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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 | 4 | 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 | 88.0% | - | 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
Financial Assistance for
Independent Living in California
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Places of interest near The Sequoias San Francisco
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.
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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 averageCalifornia average ratio: 0.00:1
Avg staff/day
28
Average shift
7.8 hours
0% compared with California averageCalifornia 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
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis 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 Assistant | 33 | 19 | 52 | 10,711 | 91 | 100% | 8.8 |
| Registered Nurse | 12 | 1 | 13 | 4,906 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,037 | 64 | 70% | 8.6 |
| Licensed Practical Nurse | 5 | 4 | 9 | 580 | 62 | 68% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 63 | 69% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 352 | 44 | 48% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 346 | 59 | 65% | 3.8 |
| Administrator | 0 | 1 | 1 | 264 | 33 | 36% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 193 | 34 | 37% | 5.7 |
| Physical Therapy Assistant | 0 | 7 | 7 | 178 | 54 | 59% | 3.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 175 | 56 | 62% | 3.1 |
| Qualified Social Worker | 0 | 1 | 1 | 80 | 35 | 38% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 40 | 13 | 14% | 3.1 |
| Medical Director | 0 | 1 | 1 | 12 | 8 | 9% | 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 residents
38
Medicare
3
7.9% of residents
Private pay or other
35
92.1% of residents
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.0
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
117% worse than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.9%
Percent of long-stay residents whose ability to move independently worsened
18.9%
57% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.1%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
164% worse than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.8%
Percent of long-stay high risk residents with pressure ulcers
1.8%
64% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
19% worse than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.7%
Percent of long-stay residents who lose too much weight
5.7%
36% worse than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
88% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.5%
Percent of long-stay residents who received an antipsychotic medication
1.5%
86% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
33% worse than California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
12% worse than California averageCalifornia average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.1%
55% worse than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
38% worse than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
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.
Financial Trends
Historical financial and operational data for The Sequoias San Francisco based on CMS SNF Cost Reports.
Occupancy Rate
73.0%
↑ 0.3pp vs 2022
Net Income
$1.9M
↑ ~$105.9K vs 2022
Total Payroll
$12.1M
↓ ~$3.0M vs 2022
Profit Margin
5.6%
↑ 0.3pp vs 2022
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