San Francisco Towers
Strong Medicare quality ratings; families often praise luxurious amenities and modern design. Still worth an in-person visit.
based on 104 Google reviews
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What this means for your family
This facility is an excellent choice for families seeking a luxury lifestyle and high-quality memory care engagement. However, if your loved one requires strict medication adherence or frequent assistance, you should specifically inquire about the protocols for off-hour staffing and medication delivery, as some recent experiences suggest inconsistencies in these areas.
Google Reviews
Google Reviews
104 reviews on Google“Coterie Cathedral Hill is widely praised as a high-end, luxury senior living community with stunning amenities, including a rooftop pool, gym, and exceptional dining. While the vast majority of reviews highlight a professional and warm staff, particularly in the memory care unit, some serious concerns have been raised regarding maintenance issues like leaks and dirty air filters, as well as inconsistent medication management for those requiring higher levels of care.”
Quality Themes
Tap a score for detailsStrengths
- Luxurious amenities and modern design
- Exceptional memory care programming
- Warm and professional staff
- High-quality dining and culinary experiences
- Engaging social activities and events
Concerns
- Inconsistent medication management and response to calls for help
- Maintenance issues including leaks and dirty air filters (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 131 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1With such a high rating for your memory care programming, could you tell us more about the specific types of cognitive activities or outings planned for residents?
- 2We've heard wonderful things about the culinary experiences here; how much input do residents have in their daily meal selections?
- 3How does the nursing team manage medication schedules and ensure that call lights are responded to promptly throughout the night?
- 4Since the facility has such a modern and luxurious design, how do you handle routine maintenance and upkeep to ensure everything stays in top condition?
- 5Could you describe the social atmosphere here and how you help new residents integrate into the community's existing events?
- 6What is the protocol for handling medical emergencies or sudden changes in a resident's health status after hours?
Personalized based on this facility's data
Key Review Excerpts
“The Memory Care floor, run by Christina, has been a wonderful experience for my mother. She feels safe, engaged in activities, and well cared for friendly, kind, and trained people.”
“We paid a premium to have Coterie’s extra care for medication management, the ability to call for help when needed, a staff to check her vitals, etc. Unfortunately, there were countless times when meds were late, or she called for help and no one came.”
“Coterie is a high-end community in every sense. It's well managed with higher-end amenities. Of course I wish it were cheaper, but you get what you pay for.”
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 · 15 measures
9
measures
5
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents who lost too much weight
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
San Francisco Towers has recurring deficiencies across all three surveys, with fire safety and emergency systems being the most persistent concerns. The facility repeatedly struggled with fire alarm systems, emergency power generators, and smoke barriers, with some issues reappearing in multiple inspections. Food safety and medication management also showed problems across surveys. While all deficiencies were reportedly corrected, the pattern of recurring issues suggests ongoing challenges with maintaining safety standards.
Dec 4, 2025Routine12
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.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Jun 7, 2024Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Mar 16, 2023Routine8
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Ownership & Operations
Who Operates This Facility
San Francisco Towers
nonprofit
Chain Affiliation
Front Porch
9 facilities nationwide
Chain avg rating: 4.6/5 · Rank 3 of 9 (Best)
Ownership & Management
Owners
Front Porch Communities and Services
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
104 reviews from families & visitors
Official Website
Visit coterieseniorliving.com
Medicare data downloads
Original nursing home datasets
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