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Nursing HomeMedicaid Top Rated

Pacific Heights Transitional Care Center

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy. Still worth an in-person visit.

2707 Pine Street, Lower Pacific Heights · San Francisco, CA 94115120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 115 Google reviews

5
4
3
2
1
Pacific Heights Transitional Care Center Nursing Home in San Francisco, CA — Street View
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What this means for your family

This facility is an excellent choice for patients needing intensive physical or occupational therapy, as the rehab team is consistently rated as top-tier. However, if your loved one has complex medical needs requiring strict medication adherence, you should perform extra due diligence and maintain frequent communication with the nursing staff to ensure all protocols are being met.

Google Reviews

Google Reviews

115 reviews on Google
Families considering Pacific Heights Transitional Care Center can expect exceptional rehabilitation services and a highly praised therapy team that focuses on mobility and recovery. While the facility is widely lauded for its cleanliness and the kindness of its nursing and social work staff, some past reviews have raised serious concerns regarding medication management and physician responsiveness.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities8.0Meds3.0MemoryN/AComms8.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Clean and well-maintained facility
  • Compassionate and attentive nursing staff
  • Strong social work and administrative support
  • Helpful multilingual/translator services

Concerns

  • Medication management errors (mentioned by 2 reviewers)
  • Difficulty reaching doctors/physicians (mentioned by 2 reviewers)
  • Inadequate response to call lights (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'20(1)'22(10)'24(22)'26(5)

Distribution · 119 analyzed

5
106
4
5
3
0
2
3
1
5
12 reviews posted between Oct 28, 2024Nov 1, 2024 · 12 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those are integrated into a resident's daily routine?
  • 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
  • 3When a resident uses their call light, what is the typical response time and how do you ensure staff are able to attend to them promptly?
  • 4How do you facilitate communication between the nursing staff and outside physicians to ensure there are no delays in medical updates?
  • 5Could you describe some of the social activities or group outings that residents participate in to stay engaged with the community?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

Therapy are tremendous and just excellent. Help me to do therapy and have me encouragement, gave personal attention which made it so much better.

Rehab patient · 2026★★★★★

The nurses and staff here are kind, helpful and genuinely want the best for your loved ones. I appreciate the timely updates and notification of any changes to my father's condition, medication, Or general care.

Long-term resident's family · 2025★★★★★

I was a patient at this facility for rehabilitation and wound care from Oct. -Dec. 2022, after a below the knee amputation. I would like to commend the whole staff who played a key part in my care, healing and overall well being.

Rehab patient · 2024★★★★★
Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
4.11hrs
OK
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

This 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

Medicare Rating
5/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
19.5%
CA
13.7%
San francisco
3.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
15.4%
CA
11.6%
San francisco
10.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
CA
7.0%
San francisco
3.5%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.2%
Mixed vs Avgs
Here
18.2%
US
19.4%
CA
10.7%
San francisco
17.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
14.4%
CA
10.4%
San francisco
12.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San francisco
95.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
79.7%
CA
93.2%
San francisco
93.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
81.8%
CA
94.2%
San francisco
88.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
CA
1.5%
San francisco
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (15.4)
4 complaint-triggered
$25,490 in fines

This facility has ongoing inspection challenges with 77 deficiencies across 9 surveys, including 6 complaint-triggered by families reporting concerns about pest control, care planning, and treatment quality. The most recurring issues involve medication management, fire safety systems, and emergency preparedness protocols. While most deficiencies show correction dates, the pattern of repeated violations in critical areas like pharmacy services and safety systems suggests persistent operational challenges that families should carefully evaluate.

Mar 13, 2026Routine
6
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0541Potential for harm · IsolatedCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Jan 29, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Aug 29, 2024Routine
42
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

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.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Minimal · WidespreadCorrected

Egress Deficiencies

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

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Minimal · WidespreadCorrected

Egress Deficiencies

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

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Sep 12, 2023Complaint
1
0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jul 20, 2023Routine
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 3, 2023Complaint
1
0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Federal Penalties

Fine

Jan 29, 2025

$25,490

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pacific Heights Transitional Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Aspen Skilled Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 3.5/5 · Rank 4 of 34 (Best)

Ownership & Management

Owners

Skbm LLC

Owner · Organization

100%

Asfp, LLC

Owner · Organization

Key personnel

Bradshaw, JeffreyOfficer / DirectorBrady, VernOfficer / DirectorCase, RyanOfficer / DirectorBradshaw, JeffreyOfficer / DirectorBrady, VernOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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