Laguna Honda Hospital & Rehabilitation Ctr D/p Snf
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 27 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
Below average in CA · Meets national RN staffing standard · Above recommended total nurse staffing · $55,499 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for post-surgical rehabilitation, particularly due to its specialized physical therapy amenities like the on-site pool and therapeutic farm. While most reviews highlight exceptional nursing care, families should remain vigilant regarding staff attitude, as there have been isolated reports of rudeness.
Google Reviews
Google Reviews
27 reviews on Google“Families seeking rehabilitation services will find a facility praised for its compassionate nursing staff and unique therapeutic amenities like an on-site farm and pool. While many patients report excellent recovery experiences, there are isolated reports of rude staff behavior and one review that appears to describe the grounds as a hiking area rather than a clinical experience.”
Quality Themes
Strengths
- Compassionate and helpful nursing staff
- Excellent rehabilitation amenities including a pool
- Therapeutic outdoor environment with animals
- Attentive doctors and medical professionals
Concerns
- Reports of rude staff behavior
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We are so excited about the pool and the outdoor space with the animals; how often do residents get to participate in activities involving the animals?
- 2With such a high staffing rating, how do you ensure that the compassionate care mentioned by families is consistently felt by every resident?
- 3We noticed some feedback regarding staff interactions; what training do you provide to ensure all team members maintain a polite and professional attitude with residents?
- 4How do the doctors and medical professionals coordinate care with the nursing staff during a medical emergency?
- 5What specific steps are taken to address and resolve the types of deficiencies noted in recent health inspections?
- 6Could you tell us more about how the rehabilitation amenities, like the pool, are integrated into a resident's daily physical therapy routine?
Personalized based on this facility's data
Key Review Excerpts
“I stayed at Laguna Honda Rehab after a big surgery and I was given the best possible care!The Nurses were extremely helpful and kind!”
“In 2014 to 2015 I spent 3 plus months at this wonderful hospital recovering from a broken back, broken ankles etc. The staff cared. The doctors gave all the attention I needed. The nurses and nurse aids helped me with everything. They have a wonderful pool that I used for physical therapy and occupational therapy. The farm has goats and I was able to visit it on a wheel chair and later on a walker to get aroun”
“Great facility. Largest skilled nursing facility in the USA. Over 700 patients in hospital. 50 patients maximum on South 2. Great staff from the Doctors to the Nurses (RN & LVN ) alike, the amazing CNAs and even the friendly cleaning crew!”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
5
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has serious recurring problems with resident protection from abuse and neglect, with families filing multiple complaint reports triggering federal investigations. The three most problematic areas are protection from abuse/neglect (with repeated violations including failure to properly report incidents), care planning deficiencies, and extensive fire safety violations including sprinkler system maintenance issues. While most deficiencies show correction dates, the pattern of repeated violations in critical safety areas, particularly the ongoing sprinkler system problems and multiple abuse protection failures, suggests persistent systemic issues that warrant careful consideration before placement.
Mar 4, 2026Complaint2
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Dec 11, 2025Complaint1
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Aug 5, 2025Complaint1
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Aug 1, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 4, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 2, 2025Routine20
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Federal Penalties
Fine
Aug 1, 2025
$17,323
Fine
Feb 20, 2024
$4,938
Fine
Feb 12, 2024
$4,938
Fine
Jan 22, 2024
$12,534
Fine
Jan 8, 2024
$3,418
Fine
Jan 2, 2024
$2,823
Fine
Dec 11, 2023
$6,351
Fine
Nov 6, 2023
$3,174
Ownership & Operations
Who Operates This Facility
Laguna Honda Hospital & Rehabilitation Ctr D/p Snf
for profit
Ownership & Management
Owners
City & County of San Francisco
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
27 reviews from families & visitors
Official Website
Visit sf.gov
Medicare data downloads
Original nursing home datasets
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