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The Sequoias San Francisco
Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
CMS overall rating Info 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.
Exterior view of The Sequoias facility entrance Entrance of The Sequoias San Francisco with signage Exterior view of The Sequoias San Francisco entrance Building entrance of The Sequoias San Francisco Exterior view of The Sequoias San Francisco entrance Interior common area with plants and seating Bright interior living space with modern decor Bright and welcoming interior of a resident room Brightly lit interior of a resident's room with furnishings Bright interior lounge area with modern furniture

The Sequoias San Francisco

Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
CMS overall rating Info 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.
1400 Geary Blvd, San Francisco, CA 94109 View map Calculator: See prices in your area
The Sequoias San Francisco accepts Medicare and private pay.
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Calculator: See prices in your area
The Sequoias San Francisco accepts Medicare and private pay.

Overview of The Sequoias San Francisco

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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.

Facility Direct Line (415) 922-9888
Facility Direct Line (415) 922-9888
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 27.0% Above CA avg. ▲ 27.0% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 7.3% Above CA avg. ▲ 7.3% Above CA avg.CA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 59.3% Above CA avg. ▲ 59.3% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 51.0% Below CA avg. ▼ 51.0% Below CA avg.CA average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs California averages

Rank #16 / 288Nurse hours — State benchmarkedThis home is ranked 16th out of 288 homes we track in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 288 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 16th out of 288 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.

5h 32m

31% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 45m
+183% State avg: 37m per day · National avg: 42m per day
LPN / LVN Info 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.
34m
−49% State avg: 1h 7m per day · National avg: 52m per day
Nurse Aide Info 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.
3h 13m
+25% State avg: 2h 34m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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.
3h 53m
Avg State avg: 3h 54m per day · National avg: 3h 30m per day
Physical Therapist Info 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
−64% State avg: 6m per day · National avg: 4m per day
Weekend RN Info 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.
38m
+24% State avg: 31m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +183% above California average

Capacity and availability

Residents per day
352
Avg. Length of Stay Info 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.
168 days
Bed community size
400-bed community Rank #28 / 1645Bed count — State benchmarkedThis home is ranked 28th out of 1,645 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
51 years in operation Rank #18 / 1505Years in operation — State benchmarkedThis home is ranked 18th out of 1,505 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 99 / 100 Rank #2 / 2057Walk Score — State benchmarkedThis home is ranked 2nd out of 2,057 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate
88%
Rank #401 / 1452Occupancy rate — State benchmarkedThis home is ranked 401st out of 1,452 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1452. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
352 / 400
Average occupied beds in California homes 87 beds

License Details

Facility TypeRCFE-Continuing Care Retirement Community
IssuanceMay 21, 1975
CountySan Francisco
CMS Certification Number56071

Ownership & Operating Entity

The Sequoias San Francisco is legally operated by Sequoia Living, Inc., and administered by Terence Tumbale.

Contact The Sequoias San Francisco

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

10 points above the California average for nursing homes (81/100)

Rank #409 / 1474 in California Inspection Score — State benchmarked This home is ranked 409th out of 1,474 homes we track in California for inspection score. Shows this facility's inspection score compared to the California average among 1474 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 91 out of 100. Letter grade A-. 10 points above the California average for nursing homes (81/100)

Inspection Scorecard Info 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 (92% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (100% below)
• Citations per inspection (98% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 112 This facility has 92% fewer total citations than a typical California nursing home (1 vs. CA avg 12).↓ 92% better
Serious citations (Type A) Info Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 13 This facility has 67% fewer serious citations (type a) than a typical California nursing home (1 vs. CA avg 3).↓ 67% better Rank #478 / 1433 Serious citations (Type A) — State benchmarked This home is ranked 478th out of 1,433 homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1433 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 04 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 Info Average citations per inspection. 0.14 This facility has 98% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 4).↓ 98% better

Inspections & Visits Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total inspections Info 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. 1516 This facility has had 6% fewer total inspections than the California average (15 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 6% fewer
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 413 This facility has had 69% fewer complaint visits than the California average (4 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 69% fewer Rank #525 / 1387 Complaint visits — State benchmarked This home is ranked 525th out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 67 This facility has had 14% fewer other visits than the California average (6 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 14% fewer
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 54 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 Info On-site investigations triggered by complaints filed with California regulators. 410 This facility has had 60% fewer complaint investigations than the California average (4 vs. CA avg 10). More inspections can mean more regulatory scrutiny rather than worse care.↓ 60% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 3

California average 12.5

Last Health inspection on Nov 2024

Total health citations
12 Rank #8 / 290Health citations — State benchmarkedThis home is ranked 8th out of 290 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 290 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 50.2

Citations per inspection
4 Rank #140 / 290Citations per inspection — State benchmarkedThis home is ranked 140th out of 290 homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 290 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 7 years)
Critical health citations
0
100% better than California average

California average: 0.4

Serious health citations
0
100% better than California average

California average: 1

0 critical citations California average: 0.4
0 serious citations California average: 1
12 moderate citations California average: 47.2
0 minor citations California average: 1.5
Citations history (last 7 years)
Pharmacy moderate citation Nov 22, 2024
Corrected
Resident Rights moderate citation Nov 22, 2024
Corrected
Infection Control moderate citation May 12, 2023
Corrected
Nutrition moderate citation May 12, 2023
Corrected

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 76
Employees 58
Contractors 18
Staff to resident ratio 2.00 : 1
10% more staff per resident than California average
California average ratio: 1.81 : 1 California average ratio: 1.81 : 1See full California ranking
Avg staff/day 26
Average shift 7.5 hours
0% compared with California average
California average: 7.7 hours California average shift: 7.7 hoursSee full California ranking
Total staff hours (quarter) 18,006

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 15 RN Staff are full-time employees. No contractors work on this role. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 31 total: 30 full-time employees and 1 contractor. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.1%

1,454 contractor hours 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

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant301319,27692100%8.1
Registered Nurse150154,23792100%7.5
Licensed Practical Nurse91101,1588390%7.7
Clinical Nurse Specialist2029936571%8.2
Nurse Practitioner1014806065%8
Mental Health Service Worker1014736267%7.6
Occupational Therapy Aide0113924953%8
Physical Therapy Aide0112876267%4.6
Administrator0111762224%8
Respiratory Therapy Technician0221536166%2.5
Qualified Social Worker0111334043%3.3
Physical Therapy Assistant066943336%2.8
Speech Language Pathologist022833336%2.5
Occupational Therapy Assistant011601415%4.3
Medical Director0111078%1.5
31 Certified Nursing Assistant
% of Days 100%
15 Registered Nurse
% of Days 100%
10 Licensed Practical Nurse
% of Days 90%
2 Clinical Nurse Specialist
% of Days 71%
View All Staffing Data in San Francisco

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

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

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.9
65% worse than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.0
121% worse than California average

California average: 11.3

Long-stay resident measures
Below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.0%
117% worse than California average

California average: 11.1%

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

California average: 12.0%

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

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
164% worse than California average

California average: 1.7%

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

California average: 5.0%

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

California average: 1.2%

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

California average: 4.2%

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

California average: 6.7%

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

California average: 10.1%

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

California average: 98.5%

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

California average: 98.2%

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.1%
55% worse than California average

California average: 94.0%

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

California average: 1.5%

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

California average: 93.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$34.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$661.1K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$34.3M Rank #9 / 259Net patient revenue — State benchmarkedThis home is ranked 9th out of 259 homes we track in California. 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$661.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.3M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #62 / 259Payroll costs — State benchmarkedThis home is ranked 62nd out of 259 homes we track in California. 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$11.0M 32.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #258 / 259Payroll % of net patient revenue — State benchmarkedThis home is ranked 258th out of 259 homes we track in California. 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 cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$22.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$33.6M
How we calculate these figures

This home is administered by Terence Tumbale.

This home is owned by Sequoia Living Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 56071

Show certification details

What does this home offer?

Pets allowed icon
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No pets allowed

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Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
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Building Type: High-rise

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

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

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 1 - 2 years.

Admissions
76 total

Coverage residents most often arrive under.

Medicare 46%
Private pay 54%
Discharges
84 total

Coverage residents most often leave under.

Medicare 30%
Private pay 70%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Living Spaces & Floor Plans for The Sequoias San Francisco

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Places of interest near The Sequoias San Francisco

Address 1.4 miles from city center Info 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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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 to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 61.2% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Avenues Transitional Care Center ★ ★ ★ ★ ★
NH
HOS
MC
RC
SNF
San Francisco (Outer Sunset)
140
Facility 140
CA AVG 103
Rank #417 / 1,645
96.1%
Facility 96.1%
CA AVG 75.9
Rank #190 / 1,452
+27%
4.29
Facility 4.29
CA AVG 4.22
Rank #108 / 288
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +57%+2%
$12.7k
Facility $12.7k
CA AVG $56.5k
Rank #205 / 293
-
26
Facility 26
CA AVG 50.2
Rank #71 / 290
3.7
Facility 3.7
CA AVG 4.6
Rank #114 / 290
1135A
85
Facility 85
CA AVG 59
Rank #290 / 2,057
Craig Orgill
$22.8MFiscal year ending 12/2023
Facility $22.8MFiscal year ending 12/2023
CA AVG $15.7M
Rank #45 / 259
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
CA AVG $9.0M
Rank #58 / 259
49.3%Fiscal year ending 12/2023
Facility 49.3%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #196 / 259
55963
The Sequoias San Francisco ★ ★ ★ ★ ☆
NH
AL
HOS
MC
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 103
Rank #28 / 1,645
88.0%
Facility 88.0%
CA AVG 75.9
Rank #401 / 1,452
+16%
5.54
Facility 5.54
CA AVG 4.22
Rank #16 / 288
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +121%+31%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 293
91
Facility 91
CA AVG 81
Rank #409 / 1,474
12
Facility 12
CA AVG 50.2
Rank #8 / 290
4.0
Facility 4.0
CA AVG 4.6
Rank #140 / 290
-352-
99
Facility 99
CA AVG 59
Rank #2 / 2,057
Sequoia Living Inc
$34.3MFiscal year ending 12/2023
Facility $34.3MFiscal year ending 12/2023
CA AVG $15.7M
Rank #9 / 259
$11.0MFiscal year ending 12/2023
Facility $11.0MFiscal year ending 12/2023
CA AVG $9.0M
Rank #62 / 259
32.2%Fiscal year ending 12/2023
Facility 32.2%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #258 / 259
56071
San Francisco Health Care and Rehab Inc. ★ ☆ ☆ ☆ ☆
NH
SNF
San Francisco (North Of The Panhandle)
168
Facility 168
CA AVG 103
Rank #266 / 1,645
91.0%
Facility 91.0%
CA AVG 75.9
Rank #315 / 1,452
+20%
4.00
Facility 4.00
CA AVG 4.22
Rank #151 / 288
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +9%-5%
$152.4k
Facility $152.4k
CA AVG $56.5k
Rank #290 / 293
-
36
Facility 36
CA AVG 50.2
Rank #123 / 290
5.1
Facility 5.1
CA AVG 4.6
Rank #209 / 290
3153A
96
Facility 96
CA AVG 59
Rank #43 / 2,057
Stan Stukov
$15.0MFiscal year ending 12/2023
Facility $15.0MFiscal year ending 12/2023
CA AVG $15.7M
Rank #118 / 259
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
CA AVG $9.0M
Rank #109 / 259
60.1%Fiscal year ending 12/2023
Facility 60.1%Fiscal year ending 12/2023
CA AVG 61.2%
Rank #75 / 259
56272
Nursing Home Explorer

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.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

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

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

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

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

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.

Does The Sequoias San Francisco operate as a for-profit or non-profit?

The Sequoias San Francisco is registered as a non-profit in CA.

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