Elder Care Record

California › San Francisco County › San Francisco

Pacific Heights Transitional Care Center

2707 Pine Street, San Francisco, CA 94115

CCN 056176 · For-profit, limited liability company · 120 certified beds · chain Aspen Skilled Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Pacific Heights Transitional Care Center, in San Francisco, California, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Aspen Skilled Healthcare chain.

CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 5, staffing 4 and quality measures 5.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (4, 12, 9 by cycle, most recent first), none at the actual-harm level. That is 20.8 per 100 beds, fewer than the state median of 51.1.

CMS lists 1 penalty in the period covered: fines totalling $25K.

Reported nurse staffing is 4.1 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 42.0%.

25health deficiencies, 3 survey cyclesnone at actual-harm level
$25Kfines listed by CMS1 penalty in period
4.1nurse hours per resident per daystate median 4.2
96%occupancy (residents ÷ beds)115 residents a day

Compared with county, state and nation

MeasureThis facilitySan Francisco Co. medianCalifornia medianUS average
Overall star rating5533.0
Health citations, 3 cycles25244428.7
Citations per 100 beds20.829.451.126.8
Total nurse hours per resident day4.14.34.23.9
RN hours per resident day0.80.90.50.7
Nursing staff turnover42.0%35.5%36.4%45.8%
Fines listed$25,490$0$0—

County and state figures are medians across facilities (18 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 212
Cycle 39

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2026, 29 Aug 2024.

Severity mix: D ×13 E ×10 F ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
13 Mar 2026F0730Observe each nurse aide's job performance and give regular training.EStandard survey3 Apr 2026
13 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Apr 2026
13 Mar 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey3 Apr 2026
13 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 Apr 2026
29 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigationDeficient, Provider has plan of correction
29 Aug 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey26 Sep 2024
29 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey26 Sep 2024
29 Aug 2024F0584Honor 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.DStandard survey26 Sep 2024
29 Aug 2024F0641Ensure each resident receives an accurate assessment.DStandard survey26 Sep 2024
29 Aug 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey26 Sep 2024
29 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Sep 2024
29 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Sep 2024
29 Aug 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey26 Sep 2024
29 Aug 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey26 Sep 2024
29 Aug 2024F0880Provide and implement an infection prevention and control program.DStandard survey26 Sep 2024
29 Aug 2024F0732Post nurse staffing information every day.CStandard survey26 Sep 2024
12 Sep 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint investigation3 Oct 2023
28 Apr 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard survey11 Jun 2021
28 Apr 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey11 Jun 2021
28 Apr 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey11 Jun 2021
28 Apr 2021F0759Ensure medication error rates are not 5 percent or greater.EStandard survey11 Jun 2021
28 Apr 2021F0761Ensure 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.EStandard survey11 Jun 2021
28 Apr 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey11 Jun 2021
28 Apr 2021F0880Provide and implement an infection prevention and control program.EStandard survey11 Jun 2021
28 Apr 2021F0758Implement 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.DStandard survey11 Jun 2021

Penalties

DateTypeAmountDetail
29 Jan 2025Fine$25,490

Staffing

Total nursing4.09 h
Nurse aides2.55 h
LPN0.73 h
RN0.82 h
Weekend total3.74 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 42.0%, RNs 45.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.5%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.6%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.8%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.3%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Asfp, Llc. Chain: Aspen Skilled Healthcare (35 facilities).

OrganisationRole in the CMS recordInterestSince
Skbm LLC5% or greater direct ownership interest100%09/01/2017
Asfp, LLCDirect ownership interestNOT APPLICABLE12/20/2018
Sequoia Healthcare Group LLCIndirect ownership interestNOT APPLICABLE01/01/2023
Asfp, LLCOperational/managerial controlNOT APPLICABLE12/20/2018
Aspen Healthcare Services LLCAdp of the snfNOT APPLICABLE01/01/2023
Moss Adams LLPAdp of the snfNOT APPLICABLE12/20/2018
Sequoia Healthcare Group LLCAdp of the snfNOT APPLICABLE01/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in San Francisco County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
California Pacific Medical Ctr- Davies Campus HospSan Francisco385551026.3—9 Jan 2026
Central Gardens Post AcuteSan Francisco925532628.3—20 Feb 2025
Hayes Convalescent HospitalSan Francisco345541029.4—12 Dec 2024
Jewish Home & Rehab Center D/P SNFSan Francisco3625455114.1—12 Feb 2026
Laurel Heights Community CareSan Francisco325442475.0$8K31 Jul 2025
Lawton Skilled Nursing & Rehabilitation CenterSan Francisco685541927.9—17 Apr 2026
San Francisco Post AcuteSan Francisco535422445.3—12 Dec 2024
San Francisco TowersSan Francisco275551140.7—4 Dec 2025

All 18 facilities in San Francisco County

Questions and answers

How many deficiencies has Pacific Heights Transitional Care Center been cited for?

25 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Pacific Heights Transitional Care Center been fined?

Yes. CMS lists fines totalling $25K in the period covered.

How does staffing at Pacific Heights Transitional Care Center compare?

Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Pacific Heights Transitional Care Center?

It is part of the Aspen Skilled Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Skbm LLC, Asfp, LLC and Sequoia Healthcare Group LLC. Individual owners and managers are not listed on this site.

When was Pacific Heights Transitional Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 13 Mar 2026; the most recent standard health survey was 13 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.