Federal inspection record · CMS data as of October 1, 2026
Laguna Honda Hospital & Rehabilitation Ctr D/P SNF
375 Laguna Honda Blvd., San Francisco, CA · (415) 759-2300
- Certified beds
- 769
- Residents per day
- 608
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 30, 2024
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Laguna Honda Hospital & Rehabilitation Ctr D/P SNF carries 82 inspection points. That is fewer than 53% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
36 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning6E
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary5F
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Dispose of garbage and refuse properly.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care4E
- D
Ensure 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-07-17
8 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-05-02
12 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-11-08
16 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 2 min of nursing staff time a day, 1 h 32 min of it from a registered nurse.
This home
5 h 2 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$55,499 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-01 | Fine | $17,323 |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $12,534 |
| 2024-01-08 | Fine | $3,418 |
| 2024-01-02 | Fine | $2,823 |
| 2023-12-11 | Fine | $6,351 |
| 2023-11-06 | Fine | $3,174 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.8 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts worse | 98.4% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better | 98.6% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 2.8% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.1 pts better | 0.5% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 4.9% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 8.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse | 14.1% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.3% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.9 pts worse | 15.8% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts worse | 14.3% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 15.0% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.6 pts worse | 70.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 6.1% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.2 pts worse | 5.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.6 pts worse | 81.5% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better | 18.3% | 22.6% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| City & County Of San Francisco | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Arnold, Timothy | Corporate Director · Individual | 0% | 2 facilities |
| Arnold, Timothy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Carton-Wade, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carton-Wade, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Drew, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Drew, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Istvan, Thomas | Corporate Director · Individual | 0% | 2 facilities |
| Istvan, Thomas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lam, Albert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lam, Albert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sidhu, Diltar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sidhu, Diltar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Talai, Nawzaneen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Talai, Nawzaneen | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke17F
- D
Install corridor and hallway doors that block smoke.
- F
Have an alternate power supply for its alarm system.
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- D
Meet requirements for the use of electrical equipment.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous4D
- D
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
- C
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services4F
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Have properly installed electrical wiring and gas equipment.
- C
Have properly installed electrical wiring and gas equipment.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install proper backup exit lighting.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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-
The Avenues Transitional Care Center
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- Nursing / resident / day
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-
Jewish Home & Rehab Center D/P SNF
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