Nursing home

Central Gardens Post Acute

1355 Ellis Street, San Francisco, CA 94115

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle3
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds92

Inspection findings

Inspectors recorded 26 findings in the last three inspection cycles.

26 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Feb 20, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Feb 20, 2025Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Feb 20, 2025Resident assessment and care planningPASARR screening for Mental disorders or Intellectual Disabilities (F0645)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Apr 25, 2024Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 31, 2024
Apr 25, 2024Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 31, 2024
Jan 27, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 1, 2024
Earlier inspections (20)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
May 26, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 24, 2023
May 26, 2023Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
May 26, 2023Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
May 26, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Jun 24, 2023
May 26, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
May 26, 2023Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
May 26, 2023Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
May 26, 2023Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated
Corrected: Jun 24, 2023
Oct 4, 2019Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Nov 12, 2019
Oct 4, 2019Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Nov 12, 2019
Oct 4, 2019Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Nov 12, 2019
Oct 4, 2019Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Nov 12, 2019
Oct 4, 2019Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
pattern
Corrected: Nov 12, 2019
Oct 4, 2019Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Nov 12, 2019
Oct 4, 2019Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)No harm, but a risk of harm
pattern
Corrected: Nov 12, 2019
Oct 4, 2019Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: Nov 12, 2019
Oct 4, 2019Quality of life and careProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (F0688)No harm, but a risk of harm
isolated
Corrected: Nov 12, 2019
Oct 4, 2019Resident rightsGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F0582)No harm, but a risk of harm
pattern
Corrected: Nov 12, 2019
Oct 4, 2019Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Nov 12, 2019
Oct 4, 2019Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Nov 12, 2019

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day3.87California median: 4.27
Registered nurse hours per resident per day0.91California median: 0.52
Nurse staff hours on weekends3.49California median: 3.85
Nursing staff who left within a year36.6%California median: 36.0%

About this home

Beds92
Residents per day, average85.9
OwnershipFor-profit, limited liability company
Legal business nameGolden California Healthcare, LLC
ChainPacs Group (277 homes)
In Medicare/Medicaid sinceJan 1, 1967

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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