Nursing home

Pacific Heights Transitional Care Center

2707 Pine 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 cycle4
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$25,490
Beds120

Inspection findings

Inspectors recorded 24 findings in the last three inspection cycles.

23 No harm, but a risk of harm1 No harm, minimal risk

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
Mar 13, 2026Food 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
pattern
Corrected: Apr 3, 2026
Mar 13, 2026Pharmacy 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: Apr 3, 2026
Mar 13, 2026Nursing and physician servicesObserve each nurse aide's job performance and give regular training. (F0730)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 13, 2026Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Jan 29, 2025Quality 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
plan of correction filed, no date yet
Aug 29, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024AdministrationProvide timely, quality laboratory services/tests to meet the needs of residents. (F0770)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Pharmacy 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
pattern
Corrected: Sep 26, 2024
Aug 29, 2024Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, minimal risk
widespread
Corrected: Sep 26, 2024
Aug 29, 2024Quality of life and careProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Resident 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: Sep 26, 2024
Aug 29, 2024Resident assessment and care planningPASARR screening for Mental disorders or Intellectual Disabilities (F0645)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Sep 26, 2024
Aug 29, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
pattern
Corrected: Sep 26, 2024
Earlier inspections (8)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 28, 2021Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 11, 2021
Apr 28, 2021Food 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
pattern
Corrected: Jun 11, 2021
Apr 28, 2021Pharmacy 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: Jun 11, 2021
Apr 28, 2021Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Jun 11, 2021
Apr 28, 2021Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021
Apr 28, 2021Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
pattern
Corrected: Jun 11, 2021
Apr 28, 2021Pharmacy 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
widespread
Corrected: Jun 11, 2021
Apr 28, 2021Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Jun 11, 2021

Fines and payment denials

Federal fines in the last three years: $25,490 (1). Payment denials: 0.

DateTypeAmount
Jan 29, 2025Fine$25,490

Staffing

Nurse staff hours per resident per day4.18California median: 4.27
Registered nurse hours per resident per day0.89California median: 0.52
Nurse staff hours on weekends3.83California median: 3.85
Nursing staff who left within a year40.8%California median: 36.0%

About this home

Beds120
Residents per day, average112.9
OwnershipFor-profit, limited liability company
Legal business nameAsfp, LLC
ChainAspen Skilled Healthcare (35 homes)
In Medicare/Medicaid sinceMar 29, 1974

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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