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Victorian Post Acute
2121 Pine Street, San Francisco, CA 94115
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.
Certified for 90 beds, Victorian Post Acute serves San Francisco in San Francisco County, California and has taken Medicare and Medicaid residents since 1967.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 3 and quality measures 5.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (2, 20, 14 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 44.1%.
Compared with county, state and nation
| Measure | This facility | San Francisco Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 24 | 44 | 28.7 |
| Citations per 100 beds | 40.0 | 29.4 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.9 | 0.5 | 0.7 |
| Nursing staff turnover | 44.1% | 35.5% | 36.4% | 45.8% |
| Fines listed | $0 | $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
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Feb 2025, 21 Apr 2023.
Severity mix: G ×2 D ×24 E ×5 F ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 14 Mar 2025 |
| 20 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Mar 2025 |
| 8 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Jun 2024 |
| 7 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 5 Jun 2024 |
| 21 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0761 | 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. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | 2 Jun 2023 |
| 21 Apr 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 2 Jun 2023 |
| 23 Aug 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0732 | Post nurse staffing information every day. | F | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 7 Nov 2019 |
| 23 Aug 2019 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 7 Nov 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 44.1%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.4% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.6% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.6% | 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, corporation. Legal business name: Golden Gateidence Opco Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bay Area Master Tenant LLC | 5% or greater direct ownership interest | 100% | 09/01/2017 |
| Providence Administrative Consulting Services Inc | Adp of the snf | NOT APPLICABLE | 11/05/2021 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Pacific Medical Ctr- Davies Campus Hosp | San Francisco | 38 | 5 | 5 | 5 | 10 | 26.3 | — | 9 Jan 2026 |
| Central Gardens Post Acute | San Francisco | 92 | 5 | 5 | 3 | 26 | 28.3 | — | 20 Feb 2025 |
| Hayes Convalescent Hospital | San Francisco | 34 | 5 | 5 | 4 | 10 | 29.4 | — | 12 Dec 2024 |
| Jewish Home & Rehab Center D/P SNF | San Francisco | 362 | 5 | 4 | 5 | 51 | 14.1 | — | 12 Feb 2026 |
| Laurel Heights Community Care | San Francisco | 32 | 5 | 4 | 4 | 24 | 75.0 | $8K | 31 Jul 2025 |
| Lawton Skilled Nursing & Rehabilitation Center | San Francisco | 68 | 5 | 5 | 4 | 19 | 27.9 | — | 17 Apr 2026 |
| Pacific Heights Transitional Care Center | San Francisco | 120 | 5 | 5 | 4 | 25 | 20.8 | $25K | 13 Mar 2026 |
| San Francisco Post Acute | San Francisco | 53 | 5 | 4 | 2 | 24 | 45.3 | — | 12 Dec 2024 |
All 18 facilities in San Francisco County
Questions and answers
How many deficiencies has Victorian Post Acute been cited for?
36 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Victorian Post Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Victorian Post Acute compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Victorian Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bay Area Master Tenant LLC. Individual owners and managers are not listed on this site.
When was Victorian Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 20 Feb 2025; the most recent standard health survey was 20 Feb 2025.
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.