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1477 Grove Street San Francisco, CA 94117 · San Francisco County
All 18 nursing homes in San Francisco, CA (15 take Medicaid)
CMS certification number 056272 · See this home on Medicare Care Compare
Is San Francisco Health Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for San Francisco Health Care as of October 2026.
CMS rates it 1 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.05 hours per resident per day at San Francisco Health Care, below the California median of 4.27 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.76 hours, 7% below its all-week average. 37.6% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at San Francisco Health Care: Medicare and Medicaid
San Francisco Health Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 28, 2025 and found 11 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at San Francisco Health Care across 7 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 22, 2024. The most common areas cited were quality of life and care (8) and pharmacy service (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 22, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 5, 2026 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 30, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
April 28, 2026 · 3 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
February 28, 2025 · 12 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide enough food/fluids to maintain a resident's health.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide or get specialized rehabilitative services as required for a resident.
August 1, 2024 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
January 22, 2024 · 12 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
FProvide and implement an infection prevention and control program.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DKeep residents' personal and medical records private and confidential.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DEnsure medication error rates are not 5 percent or greater.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 18, 2021 · 6 citations
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Questions to ask on a tour of San Francisco Health Care
- Inspectors cited the home at the immediate-jeopardy level on January 22, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 30, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $152,404 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 28, 2025 | Fine | $28,529 |
| Jan 22, 2024 | Fine | $123,875 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
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Location
Hospitals near San Francisco Health Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Kaiser Foundation Hospital - San Francisco San FranciscoEmergency room ★★★★☆ Medicare overall 4 of 5
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0.6 mi
California Pacific Medical Ctr-Davies Campus Hosp San FranciscoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 40m for patients treated and sent home
- 0.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near San Francisco Health Care › All nursing homes in San Francisco ›
Compare San Francisco Health Care with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Hayes Convalescent Hospital · San Francisco · 5 stars · 0.0 mi
- California Pacific Medical Center- Davies Campus Hospital · San Francisco · 5 stars · 0.7 mi
- Central Gardens Post Acute · San Francisco · 5 stars · 0.7 mi
- Pacific Heights Transitional Care Center · San Francisco · 5 stars · 0.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.