Sagebrook Senior Living at San Francisco

The facility underwent an unannounced Case Management visit on March 27, 2026. The purpose of the visit was to verify the receipt of a Decision and Order and confirm that a named individual was no longer employed or associated with the facility. The LPA toured the facility and reviewed documentation, noting that the named individual was not present.

The inspection was a Proof of Correction (POC) visit conducted on 03/11/2026. The licensee was cited for a Type B violation concerning an elopement incident related to staffing coverage. The report notes that the deficiency has since been cleared.

The inspection was a Proof of Correction (POC) visit conducted on 03/11/2026. The licensee was cited for a Type B violation concerning an elopement incident related to staffing coverage. The report notes that the deficiency has since been cleared.

This was a Proof of Correction (POC) visit following an Annual Inspection conducted on 12/15/2025. The report notes that deficiencies cited during the previous inspection regarding file accessibility and staff training have been cleared during this visit. No deficiencies were cited during today's follow-up inspection.

The facility underwent an Annual 1-year required inspection on 12/15/2025. The inspection noted several positive aspects, such as proper hot water temperature and working fire alarms. However, two Type B deficiencies were cited regarding the accessibility of resident/personnel files and documentation of required CPR/First Aid trained staff on duty.

The facility underwent a Case Management visit following an incident report regarding a resident elopement. The inspector noted that all exit doors and door alarms were fully operational during the tour. No deficiencies were cited during this visit.

The complaint investigation found the allegation of resident injury due to neglect/lack of supervision to be SUBSTANTIATED. Multiple deficiencies were cited, primarily related to inadequate care and supervision, which constitutes a Type A immediate health risk. The facility must submit a detailed plan of correction addressing staff training, staffing, and observation protocols by 4/11/25.

The complaint investigation found the allegation of resident injury due to neglect/lack of supervision to be SUBSTANTIATED. Multiple deficiencies were cited, primarily related to inadequate care and supervision, which constitutes a Type A immediate health risk. The facility must submit a detailed plan of correction addressing staff training, staffing, and observation protocols by 4/11/25.