Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
76
58 employees · 18 contractors · 26 on an average day The Sequoias San Francisco
Nursing Home, Assisted Living, Continuing Care Retirement Community, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Sequoias San Francisco
Nursing Home, Assisted Living, Continuing Care Retirement Community, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Sequoias San Francisco accepts Medicare and private pay.
The Sequoias San Francisco is a continuing care retirement community in San Francisco, CA, offering assisted living, memory care, nursing home care, hospice care, respite care, and skilled nursing. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident lives in an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care around the clock. Hospice care supports end of life needs, and respite care offers a short stay when a usual caregiver needs to travel or recover.
The range of care can follow changing needs. A resident may be able to receive a higher level of care over time without moving to a different community. With 400 beds, the community is among the larger communities, with more residents and staff.
Housing includes studios, one bedroom units, and two bedroom units, with the larger layouts able to suit a resident moving with a partner. Total nurse staffing is 1 hour and 34 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. In the Japantown neighborhood, the community has a Walk Score of 99 out of 100, meaning daily errands do not require a car and a resident who no longer drives can still get out independently. Payment options are Medicare and private pay. Terence Tumbale is the administrator, and Sequoia Living operates the community.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 15th out of 290 nursing homes we track in California for nurse hours. 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.
1h 34m
This nursing home is ranked 15th out of 290 nursing homes we track in California for nurse hours. 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.
1h 34mStandout metric: Registered nurse (RN) is +146% above California average
5 of 6 metrics below California average
Daily care time per resident, by role
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.5-hour shifts
1h 34m
↑ 146% · CA 38mThis facility: 1h 34m per resident per day, 146% above the California average of 38m (among California facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.5-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
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. 10 total: 9 of the facility's own employees and 1 agency contractor.
10 staff · 7.7-hour shifts
0m
↓ 100% · CA 1h 7mThis facility: 0m per resident per day, 100% below the California average of 1h 7m (among California facilities reporting a recent figure).
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. 10 total: 9 of the facility's own employees and 1 agency contractor.
10 staff · 7.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 31 total: 30 of the facility's own employees and 1 agency contractor.
31 staff · 8.1-hour shifts
0m
↓ 100% · CA 2h 35mThis facility: 0m per resident per day, 100% below the California average of 2h 35m (among California facilities reporting a recent figure).
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. 31 total: 30 of the facility's own employees and 1 agency contractor.
31 staff · 8.1-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
2m
↓ 67% · CA 6mThis facility: 2m per resident per day, 67% below the California average of 6m (among California facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
36m
↓ 85% · CA 3h 54mThis facility: 36m per resident per day, 85% below the California average of 3h 54m (among California facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
31m
↓ 2% · CA 31mThis facility: 31m per resident per day, 2% below the California average of 31m (among California facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
76
58 employees · 18 contractors · 26 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 3% · CA 7.7 hThis facility: 7.5 h, 3% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
18,006 staff hours this quarter
See full California ranking →91.9% of staff hours were worked by the facility's own employees
California average: 95.3% · Contractors this quarter: Physical Therapy Assistant (6), Respiratory Therapy Technician (2), Speech Language Pathologist (2), Certified Nursing Assistant (1), Qualified Social Worker (1), Physical Therapy Aide (1), Licensed Practical Nurse (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1), Medical Director (1), Administrator (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
400
Rank #27 / 341Bed count — State benchmarked This nursing home is ranked 27th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
400
Rank #27 / 341Bed count — State benchmarked This nursing home is ranked 27th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #16 / 198Years in operation — State benchmarked This nursing home is ranked 16th out of 198 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #16 / 198Years in operation — State benchmarked This nursing home is ranked 16th out of 198 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
51
years
Walk Score
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 344Walk Score — State benchmarked This nursing home is ranked 1st out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 344Walk Score — State benchmarked This nursing home is ranked 1st out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
99
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #158 / 299Occupancy rate — State benchmarked This nursing home is ranked 158th out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #158 / 299Occupancy rate — State benchmarked This nursing home is ranked 158th out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88%
This home usually has limited availability
Based on 352 residents and 400 beds. Source: state inspection report (Jan 2026)
Higher than the California average: 82.2%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
213
days
About This Community
IssuanceMay 21, 1975
CountySan Francisco
CMS Certification Number056071
The Sequoias San Francisco is legally operated by Sequoia Living, Inc., and administered by Terence Tumbale.
Housekeeping
Transportation
Beauty Services
Pets not allowed
Building TypeHigh-rise
Room Types
Studio
1 Bed
2 Bed
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Inspection Scorecard
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.
Overall vs. CA average
0 Worse
No metrics in this bucket.
4 Better
Metrics better than California average:
• Total citations (86% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (100% below)
• Citations per inspection (80% below)
• Total citations (86% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (100% below)
• Citations per inspection (80% below)
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 7.0 | This facility has 86% fewer total citations than a typical California nursing home (1 vs. CA avg 7).↓ 86% better |
|
Serious citations (Type A)
Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 1 | 3.0 | This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better Rank #1 / 293 Serious citations (Type A) — State benchmarked This nursing home is ranked 1st out of 293 nursing homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among the 293 nursing homes in the ranking pool. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. |
|
Moderate citations (Type B)
Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 0 | 4.0 | This facility has 100% fewer moderate citations (type b) than a typical California nursing home (0 vs. CA avg 4).↓ 100% better |
|
Citations per inspection
Average citations per inspection.
| 0.1 | 0.5 | This facility has 80% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 0.5).↓ 80% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
| 15 | 19.0 | This facility has had 21% fewer total inspections than the California average (15 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 21% fewer |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 6.0 | This facility has had 33% fewer complaint visits than the California average (4 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 6 | 4.0 | This facility has had 50% more other visits than the California average (6 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 5 | 4.0 | This facility has had 25% more official inspections than the California average (5 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 4 | 8.0 | This facility has had 50% fewer complaint investigations than the California average (4 vs. CA avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
3
↓ 75% · CA 12.2This facility: 3, 75% below the California average of 12.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
15
Rank #17 / 293Health citations — State benchmarked This nursing home is ranked 17th out of 293 nursing homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 293 CA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 70% · CA 49.9This facility: 15, 70% below the California average of 49.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5
Rank #193 / 293Citations per inspection — State benchmarked This nursing home is ranked 193rd out of 293 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 293 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 5% · CA 4.75This facility: 5, 5% above the California average of 4.75 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
15 of 15 citations corrected
Critical
J–L
0
↓ 100% · CA 0.3This facility: 0, 100% below the California average of 0.3 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · CA 0.9This facility: 0, 100% below the California average of 0.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
15
↓ 68% · CA 47.2This facility: 15, 68% below the California average of 47.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · CA 1.5This facility: 0, 100% below the California average of 1.5 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 17, 2026 · 6 citations, all corrected
Most cited category: Pharmacy Services, 5 of 15 citations · 7 categories in total
Citations history
Most recent first
Feb 17, 2026
6 citations
Administration moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nov 22, 2024
2 citations
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
May 12, 2023
7 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 15 citations
Pharmacy Services
5 deficiencies (33%)
Nutrition & Dietary
3 deficiencies (20%)
Environmental
3 deficiencies (20%)
Infection Control
1 deficiency (7%)
Resident Rights
1 deficiency (7%)
Resident Assessment & Care Planning
1 deficiency (7%)
Administration
1 deficiency (7%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 15 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
Penalties and fines
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
CA avg $58KCalifornia average: $57,703. Average among the 498 California facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
CA avg 2.06California average: 2.06. Average among the 498 California facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
CA avg 0.57California average: 0.57. Average among the 498 California facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.7
Score · lower is better
↑ 133% · CA 5.9This facility: 13.7, 133% above the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
26.9
Score · lower is better
↑ 169% · CA 10.0This facility: 26.9, 169% above the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 4 better, 6 worse, 1 without a benchmark
3 short-stay measures: 1 better, 1 worse, 1 near CA average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
↑ 194% · CA 10.2This facility: 30.1, 194% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
↑ 194% · CA 10.2This facility: 30.1, 194% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
24.3%
↑ 149% · CA 9.8This facility: 24.3, 149% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
24.3%
↑ 149% · CA 9.8This facility: 24.3, 149% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.3%
↑ 157% · CA 10.2This facility: 26.3, 157% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.3%
↑ 157% · CA 10.2This facility: 26.3, 157% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.4%
↑ 99% · CA 1.2This facility: 2.4, 99% above the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.4%
↑ 99% · CA 1.2This facility: 2.4, 99% above the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
11.1%
Percent of long-stay residents experiencing one or more falls with major injury
11.1%
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.9%
↓ 55% · CA 4.3This facility: 1.9, 55% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.9%
↓ 55% · CA 4.3This facility: 1.9, 55% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.2%
↓ 70% · CA 4.0This facility: 1.2, 70% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.2%
↓ 70% · CA 4.0This facility: 1.2, 70% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.4%
↓ 66% · CA 7.3This facility: 2.4, 66% below the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.4%
↓ 66% · CA 7.3This facility: 2.4, 66% below the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
3.0%
↓ 75% · CA 12.0This facility: 3.0, 75% below the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
3.0%
↓ 75% · CA 12.0This facility: 3.0, 75% below the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.8%
↓ 29% · CA 98.6This facility: 69.8, 29% below the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.8%
↓ 29% · CA 98.6This facility: 69.8, 29% below the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
↓ 12% · CA 98.2This facility: 86.5, 12% below the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
↓ 12% · CA 98.2This facility: 86.5, 12% below the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · CA 1.5This facility: 0.0, 100% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · CA 1.5This facility: 0.0, 100% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.2%
↓ 38% · CA 94.4This facility: 58.2, 38% below the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.2%
↓ 38% · CA 94.4This facility: 58.2, 38% below the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
↓ 2% · CA 93.2This facility: 90.9, 2% below the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
↓ 2% · CA 93.2This facility: 90.9, 2% below the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Sequoias San Francisco’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 288 California nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−412.3% operating margin
−414.2 pts vs prior year
An operating loss in 6 of the last 8 reported years. Other income ($29.3M) turns it into a net profit to $0.5M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most California homes
173.8% payroll share of revenue
CA average 61.4%Rank #7 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 7th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.1M while revenue fell $27.3M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with California homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.0M | −$27.3M | Trend 20172024 | CA median $15.3M | Rank in CA Rank #273 / 288Net patient revenue — State benchmarked This nursing home is ranked 273rd out of 288 nursing homes we track in California for net patient revenue. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Below CA median Higher net patient revenue than 5% of CA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $35.9M | +$2.3M | Trend 20172024 | CA median — | Rank in CA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$28.9M | −$29.5M | Trend 20172024 | CA median — | Rank in CA Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −412.3% | −414.2 pts | Trend 20172024 | CA median — | Rank in CA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $29.3M | — | Trend — | CA median — | Rank in CA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.5M | −$1.5M | Trend — | CA median — | Rank in CA Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most California homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $12.2M | +$1.1M | Trend 20172024 | CA median $8.8M | Rank in CA Rank #70 / 288Payroll costs — State benchmarked This nursing home is ranked 70th out of 288 nursing homes we track in California for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 76% of homes | Above CA median Higher payroll than 76% of CA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 173.8% | +141.6 pts | Trend 20172024 | CA median 53.8% | Rank in CA Rank #7 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 7th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 98% of homes | 112.4 pts over CA average The CA average is 61.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · CA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.6M | $6.2M | $5.4M | $5.6M | $31.2M | $32.2M | $34.3M | $7.0M |
| Operating expenses | $29.6M | $31.1M | $32.3M | $33.7M | $31.4M | $31.7M | $33.6M | $35.9M |
| Net patient income | −$24.0M | −$24.9M | −$26.9M | −$28.0M | −$0.2M | $0.5M | $0.7M | −$28.9M |
| Operating margin | −426.6% | −404.4% | −494.5% | −496.2% | −0.6% | 1.5% | 1.9% | −412.3% |
| Net income | $0.3M | $0.6M | $0.1M | −$1.1M | $1.8M | $1.8M | $1.9M | $0.5M |
| Payroll costs | $13.4M | $13.7M | $15.2M | $15.6M | $13.3M | $14.2M | $11.0M | $12.2M |
| Payroll share of revenue | 238.8% | 222.9% | 279.9% | 275.6% | 42.8% | 44.0% | 32.2% | 173.8% |
| Beds | 50 | 50 | 87 | 351 | 351 | 87 | 87 | 87 |
| Gross revenue | $5.8M | $6.4M | $8.1M | $8.1M | $31.3M | $34.5M | $34.6M | $7.1M |
| Salaries | $9.5M | $10.4M | $11.0M | $11.3M | $11.1M | $12.0M | $9.1M | $9.9M |
| Wage-related costs | $3.9M | $3.3M | $4.2M | $4.2M | $2.2M | $2.2M | $1.9M | $2.3M |
| Contract labor | $0.7M | — | $0.5M | $0.4M | $0.7M | $1.0M | $1.1M | $0.6M |
| Other operating costs | $16.2M | $17.3M | $17.1M | $18.1M | $18.0M | $17.5M | $22.6M | $23.7M |
| Net patient revenue per day | $45 | $48 | $201 | $38 | $1,271 | $1,394 | $1,479 | $294 |
| Cost per day | $235 | $241 | $1,194 | $226 | $1,279 | $1,373 | $1,451 | $1,506 |
| Average length of stay | 133.5 days | 103.2 days | 103.2 days | 165.5 days | 139.2 days | 170.4 days | 167.8 days | 213.4 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
67 admissions · FY2024
Residents admitted during the year.
Medicare
22 · 33%
Medicaid
0 · 0%
Private pay & other
45 · 67%
Leaving
64 discharges · FY2024
Residents discharged during the year.
Medicare
12 · 19%
Medicaid
0 · 0%
Private pay & other
52 · 81%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Living Spaces & Floor Plans for The Sequoias San Francisco
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.
Calculate Travel Distance to The Sequoias San Francisco
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Compare Nursing Homes around San Francisco
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Avenues Transitional Care Center | NH HOS MC RC SNF | San Francisco (Outer Sunset) | 140
Facility
140
CA AVG
161
Rank
#118 / 341 |
95.5%
Facility
95.5%
CA AVG
82.2%
Rank
#34 / 299 | +16% | 4.18
Facility
4.18
CA AVG
4.33
Rank
#113 / 290 | +57% | -4% | $12.7k
Facility
$12.7k
CA AVG
$60.5k
Rank
#209 / 295 | 21
Facility
21
CA AVG
49.9
Rank
#41 / 293 | 4.2
Facility
4.2
CA AVG
4.7
Rank
#149 / 293 | 1 | 134 | A |
85
Facility
85
CA AVG
60
Rank
#54 / 344 | Craig Orgill | $25.5MFiscal year ending 12/2024
Facility
$25.5MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#52 / 288 | $13.3MFiscal year ending 12/2024
Facility
$13.3MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#55 / 288 | 52%Fiscal year ending 12/2024
Facility
52%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#170 / 288 | 055963 | ||||
| The Sequoias San Francisco | NH AL CCRC HOS MC RC SNF | San Francisco (Japantown) | 400
Facility
400
CA AVG
161
Rank
#27 / 341 |
88.0%
Facility
88.0%
CA AVG
82.2%
Rank
#158 / 299 | +7% | 1.56
Facility
1.56
CA AVG
4.33
Rank
#15 / 290 | +121% | -64% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 15
Facility
15
CA AVG
49.9
Rank
#17 / 293 | 5.0
Facility
5.0
CA AVG
4.7
Rank
#193 / 293 | - | 352 | - |
99
Facility
99
CA AVG
60
Rank
#1 / 344 | Sequoia Living, Inc | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#273 / 288 | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#70 / 288 | 173.8%Fiscal year ending 12/2024
Facility
173.8%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#7 / 288 | 056071 | ||||
| San Francisco Health Care and Rehab Inc. | NH SNF | San Francisco (North Of The Panhandle) | 168
Facility
168
CA AVG
161
Rank
#92 / 341 |
85.0%
Facility
85.0%
CA AVG
82.2%
Rank
#111 / 299 | +3% | 4.24
Facility
4.24
CA AVG
4.33
Rank
#154 / 290 | +9% | -2% | $152.4k
Facility
$152.4k
CA AVG
$60.5k
Rank
#291 / 295 | 34
Facility
34
CA AVG
49.9
Rank
#114 / 293 | 6.8
Facility
6.8
CA AVG
4.7
Rank
#262 / 293 | 3 | 143 | A |
96
Facility
96
CA AVG
60
Rank
#6 / 344 | Stan Stukov | $15.3MFiscal year ending 12/2024
Facility
$15.3MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#145 / 288 | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#215 / 288 | 43%Fiscal year ending 12/2024
Facility
43%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#267 / 288 | 056272 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in California
The Sequoias San Francisco is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
Frequently Asked Questions about The Sequoias San Francisco
What neighborhood is The Sequoias San Francisco in?
The Sequoias San Francisco is in the Japantown neighborhood of San Francisco.
Who is the owner of The Sequoias San Francisco?
The Sequoias San Francisco is legally operated by Sequoia Living, Inc., and administered by Terence Tumbale.
Is The Sequoias San Francisco in a walkable area?
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.
What is the occupancy rate at The Sequoias San Francisco?
The Sequoias San Francisco's occupancy is 88%.
How long has The Sequoias San Francisco been in business?
The Sequoias San Francisco has been operating for approximately 51 years, based on available licensing and registration records.
Are pets allowed at The Sequoias San Francisco?
No, The Sequoias San Francisco has a no-pet policy.
Who is the administrator of The Sequoias San Francisco?
Terence Tumbale is the administrator of The Sequoias San Francisco.
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