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Nursing HomeMedicaid Top Rated

Hayes Convalescent Hospital

Strong Medicare quality ratings; families often praise beautiful gardens and scenic city views. Still worth an in-person visit.

1250 Hayes Street, Buena Vista · San Francisco, CA 9411734 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 17 Google reviews

5
4
3
2
1
Hayes Convalescent Hospital Nursing Home in San Francisco, CA — Street View
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What this means for your family

The facility offers a beautiful, garden-filled environment with excellent resident activities and a caring nursing staff. However, families should exercise caution and perform their own direct communication with management, as recent reports indicate significant hostility from the Executive Director during the inquiry process.

Google Reviews

Google Reviews

17 reviews on Google
Families often praise the facility for its beautiful grounds, scenic city views, and a caring, family-oriented atmosphere. However, there are significant, highly critical reports regarding the unprofessional and hostile behavior of the Executive Director during initial inquiries and placements.

Quality Themes

Tap a score for details
Food5.0Staff7.0CleanN/AActivities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Beautiful gardens and scenic city views
  • Engaging daily activities including music and exercise
  • Caring and professional caregiving staff
  • Inviting and well-maintained common areas

Concerns

  • Unprofessional behavior by the Executive Director (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'19(2)5.02.0'21(2)5.05.0'23(4)4.83.0'25(4)1.0'26(2)

Distribution · 30 analyzed

5
22
4
2
3
1
2
0
1
5

How They Respond to Reviews

94%response rate
Generic

The owner uses highly templated, repetitive responses that often appear to be copy-pasted. While they attempt to personalize by using the reviewer's name, the core messaging remains a set of pre-written scripts for different star ratings.

Questions for Your Tour

  • 1We love the look of the gardens and the city views from the common areas; how often do residents get to spend time enjoying those outdoor spaces?
  • 2I noticed you are very responsive to feedback from the community, which is wonderful to see; how does the leadership team typically communicate important updates or changes to families?
  • 3The music and exercise programs sound lovely; could you tell us more about how you tailor daily activities to each resident's specific interests?
  • 4With such a high health inspection rating, what specific protocols do you have in place to handle medical emergencies or sudden changes in a resident's condition?
  • 5Since the facility is such an intimate size with 34 residents, how do you ensure that the care remains personalized and that staff are able to focus on each person's needs?
  • 6How does the administration team work with the nursing staff to ensure that the high standard of clinical care is matched by consistent, professional communication with us as a family?

Personalized based on this facility's data


Key Review Excerpts

They have a variety of activities each day from bingo, movies, exercise routines, guest artists playing piano and much more to keep folks entertained and busy.

Neighbor of a resident · 2024★★★★★

The staff here is really caring and it's a family run business, and operated with an attention to detail and humanness unlike a large corporate conglomerate

Long-term resident's family · 2022★★★★★

Phoned David Wall executive director to coordinate a placement for my client who I sent there this morning for a tour. David was hostile, rude and hung up on me after stating, “I’m not paying you a penny for placement!”

Placement professional · 2025☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
4.04hrs
98%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
19.5%
CA
13.7%
San francisco
4.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
15.3%
CA
10.5%
San francisco
12.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.0%
Worse than Avg
Here
23.0%
US
14.4%
CA
10.4%
San francisco
11.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
CA
7.0%
San francisco
4.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.5%
CA
11.7%
San francisco
9.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.6%
Mixed vs Avgs
Here
11.6%
US
19.4%
CA
10.7%
San francisco
18.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.9%
Worse than Avg
Here
62.9%
US
81.8%
CA
94.2%
San francisco
89.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (15.4)
3 complaint-triggered
Clean record — no deficiencies

This facility has concerning patterns with families filing complaints about medication management and safety issues, including high medication error rates and infection control problems. Recurring deficiencies span medication management, fire safety systems, and electrical safety, with some issues like smoke door installations and electrical problems appearing across multiple surveys. While all deficiencies show correction dates, the repetition of safety violations and complaint-triggered medication issues warrant careful consideration during visits.

Nov 7, 2025Routine
2
0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Dec 12, 2024Routine
8
0813Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 12, 2023Routine
8
0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Oct 12, 2023Complaint
3
0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hayes Convalescent Hospital

Organization Type

for profit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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