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Nursing HomeMedicaid Investigative

San Francisco Health Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1477 Grove Street, Panhandle · San Francisco, CA 94117168 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 59 Google reviews

5
4
3
2
1
San Francisco Health Care Nursing Home in San Francisco, CA — Street View
Street View

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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • High staff turnover (53%)
  • High RN turnover (67%)

Bottom 25% in CA · Meets national RN staffing standard · $152,404 in fines

Source: Medicare data

What this means for your family

This facility offers highly regarded physical therapy that has helped patients regain mobility. However, families must be extremely vigilant regarding hygiene and response times, as multiple recent reports indicate serious lapses in basic care and patient monitoring.

Google Reviews

Google Reviews

59 reviews on Google
Families seeking rehabilitation services may find the physical therapy team highly effective, with several reviewers reporting significant recovery milestones. However, there are serious, recurring allegations regarding neglect, including delayed response to call lights, poor hygiene management, and inadequate monitoring of patient distress.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean3.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Compassionate and dedicated rehabilitation staff
  • Effective post-stroke and post-injury recovery
  • Welcoming environment for specific medical needs

Concerns

  • Delayed response to patient needs and call lights (mentioned by 5 reviewers)
  • Issues with hygiene and incontinence care (mentioned by 3 reviewers)
  • Facility cleanliness and pest issues (mentioned by 3 reviewers)
  • Difficulty reaching staff via telephone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(13)'22(3)'24(10)'26(5)

Distribution · 62 analyzed

5
37
4
4
3
2
2
3
1
16

How They Respond to Reviews

10%response rate
Good

The owner provides personalized responses that acknowledge specific details from the reviews, such as the facility's family-owned nature or the reviewer's name. While the structure feels somewhat templated, the content is tailored to reflect the reviewer's sentiment.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; how do you tailor rehabilitation plans for residents recovering from a stroke or injury?
  • 2With the recent focus on improving facility maintenance, what specific steps are being taken to ensure the rooms and common areas are kept clean and comfortable?
  • 3How does the nursing team manage call lights and ensure that residents' needs are attended to promptly throughout the night?
  • 4Could you tell us more about the dining experience and how the menu is planned to ensure nutritious and appetizing meals for everyone?
  • 5What is the protocol for managing medications, and how do you ensure accuracy and safety during administration?
  • 6How do you maintain consistent communication with families, especially if we need to reach someone regarding a resident's care?

Personalized based on this facility's data


Key Review Excerpts

Best physical therapy!! I was paraplegic when I got there. In 3 months I can now walk and climb stairs.

Rehab patient · 2020★★★★★

My husband is dying and when I visit him at the San Francisco Health Care and Rehab facility, I always leave with a pain in my heart. During my last visit I saw: him lying uncovered, heavily drugged, unresponsive, and at my last visit, with an open diaper lying in old loose poop, and a very red behind.

Long-term resident's family · 2024☆☆☆☆

The therapist were great especially Anthony and the nurses were attentive to my needs. Social Worker Cyndi was very helpful with my request and discharge planning.

Rehab patient · 2023★★★★★
Source: 59 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.81hrs
OK
Registered nurses for medical care
Total Nursing
4.00hrs
98%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
63%
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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
19.5%
CA
13.7%
San francisco
3.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
19.4%
CA
10.7%
San francisco
17.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
CA
7.0%
San francisco
3.6%

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 Facility6.3%
Better than Avg
Here
6.3%
US
15.4%
CA
11.6%
San francisco
10.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
15.3%
CA
10.5%
San francisco
14.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
14.4%
CA
10.4%
San francisco
12.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility64.4%
Worse than Avg
Here
64.4%
US
79.7%
CA
93.2%
San francisco
96.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.2%
Mixed vs Avgs
Here
85.2%
US
81.8%
CA
94.2%
San francisco
89.3%
💊

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

12deficiencies
2penalties
Near state avg (15.4)
6 complaint-triggered
$152,404 in fines

San Francisco Health Care has concerning patterns with 68 deficiencies across eight surveys, including nine complaint-triggered issues where families filed reports. The facility shows persistent problems in medication management (appearing across multiple years), care planning, and fire safety systems. While all deficiencies show correction dates, the recurring nature of medication errors and safety violations, combined with families filing complaints, suggests ongoing quality control challenges that warrant careful consideration.

Jan 20, 2026Complaint
2
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0531Potential for harm · IsolatedCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Feb 28, 2025Routine
21
0689Actual 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.

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

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.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0655Potential for harm · IsolatedCorrected

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

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 28, 2025Complaint
1
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Sep 24, 2024Complaint
1
0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 1, 2024Complaint
1
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Jan 22, 2024Routine
20
0689Immediate jeopardy · 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.

0584Potential for harm · WidespreadCorrected

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · PatternCorrected

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.

0678Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Federal Penalties

Fine

Feb 28, 2025

$28,529

Fine

Jan 22, 2024

$123,875

Ownership & Operations

Who Operates This Facility

Owner / Operator

San Francisco Health Care

Organization Type

for profit

Ownership & Management

Owners

Stukov, Stan

Owner

15%

Stukov, Svetlana

Owner

55%

Key personnel

Stukov, StanW-2 Managing EmployeeStukov, SvetlanaW-2 Managing EmployeeStukov, StanOfficer / DirectorStukov, SvetlanaOfficer / 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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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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