0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
San Francisco, CA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
1001 Potrero Avenue, San Francisco, CA
(415) 206-8283
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
30
Certified beds
Average residents
18
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-03-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
5.05
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.91
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
8.83
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
5.92
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
7.37
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
3.66
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
5.47
CMS adjusted RN staffing hours
Adjusted total hours
9.56
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
1,018
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0161
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
2.21
Baseline 6.10% · Performance 7.17% · Measure score 2.21 · Achievement 2.21 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
10
Baseline 7.18 hours · Performance 6.55 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.28% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 56 · Observed rate 17.86% · Lower 95% interval 8.08% |
| Discharge to community | 54.94% |
50.57%
4.4 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 48.28% · Lower 95% interval 42.77% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 7.17% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 25 · Observed rate 8% · Lower 95% interval 4.18% |
| Staff COVID-19 vaccination coverage | 27.03% |
8.2%
18.8 pts better
|
Numerator 10 · Denominator 37 |
| Staff flu vaccination coverage | 84.09% |
42%
42.1 pts better
|
Numerator 37 · Denominator 44 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 1.3% · 4Q avg 0.8% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-08-06
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-21
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-14
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 2024-08-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-14
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 2024-08-14
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-01-04
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-07-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-31
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-07-31
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-07-31
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 2023-07-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
San Francisco, CA
5-star overall rating with 5-star inspections with $4,194 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
San Francisco, CA
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
San Francisco, CA
1-star overall rating with 1-star inspections with $152,404 in total fines with 12 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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