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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 59 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 64 analyzed
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.
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.”
“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.”
“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.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
Federal Penalties
Fine
Feb 28, 2025
$28,529
Fine
Jan 22, 2024
$123,875
San Francisco Health Care
for profit
Owners
Stukov, Stan
Owner
Stukov, Svetlana
Owner
Key personnel
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