San Francisco, CA

San Francisco Towers

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1661 Pine Street, San Francisco, CA

(415) 447-5505

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

27

Certified beds

Average residents

17

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Front Porch

Operator or chain grouping

Approved since

1998-07-28

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

9 facilities

Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

2.10

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.31

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

6.23

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

2.92

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

5.34

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

1.47

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.23

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.99

CMS adjusted RN staffing hours

Adjusted total hours

5.90

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

10%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,780

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

54.03

Composite VBP score used to determine payment impact.

Payment multiplier

1.0088

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.99

Baseline 24.31% · Performance 22.50% · Measure score 1.99 · Achievement 0 · Improvement 1.99

Healthcare-associated infections

4.22

Baseline 5.83% · Performance 6.57% · Measure score 4.22 · Achievement 4.22 · Improvement 0

Total nurse turnover

10

Baseline 30.77% · Performance 17.39% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.74%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 116 · Observed rate 5.17% · Lower 95% interval 6.26%
Discharge to community 67.26%
50.57%
16.7 pts better
Better than the National Rate · Eligible stays 125 · Observed rate 71.2% · Lower 95% interval 61.05%
Medicare spending per beneficiary 0.8
1.02
0.2 pts better
Drug regimen review with follow-up 96.34%
95.27%
1.1 pts better
Numerator 79 · Denominator 82
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 82
Discharge self-care score 60.66%
53.69%
7 pts better
Numerator 37 · Denominator 61
Discharge mobility score 70.49%
50.94%
19.5 pts better
Numerator 43 · Denominator 61
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 82 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.57%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 73 · Observed rate 4.11% · Lower 95% interval 3.04%
Staff COVID-19 vaccination coverage 28.89%
8.2%
20.7 pts better
Numerator 13 · Denominator 45
Staff flu vaccination coverage 82%
42%
40 pts better
Numerator 41 · Denominator 50
Discharge function score 75.41%
56.45%
19 pts better
Numerator 46 · Denominator 61
Transfer of health information to provider 97.96%
95.95%
2 pts better
Numerator 48 · Denominator 49
Transfer of health information to patient 92.31%
96.28%
4 pts worse
Numerator 24 · Denominator 26
Resident COVID-19 vaccinations up to date 51.85%
25.2%
26.7 pts better
Numerator 28 · Denominator 54

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
6.8%
6.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 13.3%
4.1%
9.2 pts worse
5.4%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 0.0%
13.7%
13.7 pts better
19.6%
19.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antipsychotic medication 13.8%
14.2%
0.4 pts better
16.7%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased 7.1%
10.7%
3.6 pts better
14.9%
7.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.7%
1.0%
1.7 pts worse
1.0%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.9%
1.2%
1.7 pts worse
1.7%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.6%
10.9%
1.7 pts worse
19.8%
7.2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.6%
Percentage of long-stay residents with pressure ulcers 5.1%
4.7%
0.4 pts worse
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 18.3%
11.2%
7.1 pts worse
12.0%
6.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 15.1% · Expected 9.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.4%
93.2%
5.2 pts better
79.7%
18.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.1%
23.2%
0.9 pts worse
23.9%
0.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 18.6% · Expected 18.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2024-06-07 · Fire 2024-06-07

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-29

D · Potential for more than minimal harm 2025-12-04

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-12-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-12-04

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-09

C · Minimal harm 2025-12-04

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-12-25

C · Minimal harm 2025-12-04

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-12-19

E · Potential for more than minimal harm 2024-06-07

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-06-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-06-07

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-06-07

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-06-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-28

E · Potential for more than minimal harm 2023-03-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-24

E · Potential for more than minimal harm 2023-03-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-24

E · Potential for more than minimal harm 2023-03-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-24

E · Potential for more than minimal harm 2023-03-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-24

D · Potential for more than minimal harm 2023-03-16

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-04-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-12-04

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-12-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-12-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-12-04

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-12-16

F · Potential for more than minimal harm 2024-06-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-07

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-07

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2024-07-11

D · Potential for more than minimal harm 2023-03-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-03-16

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-19

Penalties and ownership

What sits behind the stars

Ownership

Front Porch Communities And Services

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2022-04-01
Akopyan, Gevork

Operational/Managerial Control · Individual

0% 9 facilities 2022-10-12
Arroyo, Jeniffer

Operational/Managerial Control · Individual

0% 1 facilities 2020-05-04
Cairns, Dawn

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Duranteau, Nancy

Corporate Director · Individual

0% 9 facilities 2021-04-01
Forte, Vincent

Corporate Director · Individual

0% 9 facilities 2021-04-01
Haman, Aissatou

Operational/Managerial Control · Individual

0% 1 facilities 2020-11-20
Handy, Joanne

Corporate Director · Individual

0% 14 facilities 2021-04-01
Ichien, Christopher

Operational/Managerial Control · Individual

0% 4 facilities 2018-06-04
Jacobs, Laura

Corporate Director · Individual

0% 9 facilities 2019-01-01
Kelly, Sean

Operational/Managerial Control · Individual

0% 10 facilities 2023-03-06
Kelly, Sean

Corporate Officer · Individual

0% 10 facilities 2023-03-06
Kroeker, Kevin

Corporate Director · Individual

0% 9 facilities 2018-01-01
Mcgovern, Marion

Corporate Director · Individual

0% 9 facilities 2017-01-01
Mcmullin, Mary

Operational/Managerial Control · Individual

0% 9 facilities 2025-04-01
Nitsche, Mark

Operational/Managerial Control · Individual

0% 1 facilities 2022-07-25
Olson, Kari

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Omole, Akindele

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-19
Proctor, Deborah

Corporate Director · Individual

0% 9 facilities 2017-01-01
Salvador, Eduardo

Operational/Managerial Control · Individual

0% 9 facilities 2021-04-01
Salvador, Eduardo

Corporate Officer · Individual

0% 9 facilities 2017-10-03
Spencer, Peter

Corporate Director · Individual

0% 8 facilities 2026-01-01
Tonnu, Diemlan

Corporate Director · Individual

0% 9 facilities 2018-01-01
Vranich, Rachel

Corporate Officer · Individual

0% 9 facilities 2022-06-17
Wesson, Oliver

Corporate Director · Individual

0% 9 facilities 2017-01-01
Whittaker, Susan

Corporate Director · Individual

0% 9 facilities 2018-01-23

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