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PACIFIC HEIGHTS TRANSITIONAL CARE CENTER

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PACIFIC HEIGHTS TRANSITIONAL CARE CENTER is a for profit - limited liability company facility in SAN FRANCISCO, CA with 120 certified beds and a 5-star overall CMS rating. The facility has 39 deficiency records on file. Total penalties: $25K.

2707 PINE STREET, SAN FRANCISCO, CA 94115

Phone: 4155637600

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
056176
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
109
In Hospital
No
County
San Francisco
Last Inspection
Aug 29, 2024

Staffing Data

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.76
CNA Hours
2.41
Total Nursing Hours
3.99 (nat'l avg: 3.89)
PT Hours
0.23
Nursing Turnover
56.2%
RN Turnover
32.0%

What the CMS Record Reveals About PACIFIC HEIGHTS TRANSITIONAL CARE CENTER

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER operates 120 certified beds in SAN FRANCISCO, CA with approximately 109 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 39 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $25K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.99 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, PACIFIC HEIGHTS TRANSITIONAL CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (39 most recent)

D — Isolated - Minimal harm Jan 29, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 26, 2024

E — Pattern - Minimal harm Aug 29, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 26, 2024

C — Widespread - No harm Aug 29, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

E — Pattern - Minimal harm Aug 29, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

D — Isolated - Minimal harm Sep 12, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 3, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 3, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 4, 2023

D — Isolated - Minimal harm Jun 2, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 4, 2023

D — Isolated - Minimal harm Mar 30, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Apr 7, 2023

D — Isolated - Minimal harm Mar 30, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 7, 2023

D — Isolated - Minimal harm Feb 10, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 7, 2023

D — Isolated - Minimal harm Feb 10, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 7, 2023

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 28, 2021 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

F — Widespread - Minimal harm Apr 28, 2021 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Apr 28, 2021 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 11, 2021

E — Pattern - Minimal harm Feb 6, 2020 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2020

E — Pattern - Minimal harm Feb 6, 2020 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2020

E — Pattern - Minimal harm Feb 6, 2020 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2020

E — Pattern - Minimal harm Feb 6, 2020 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2020

D — Isolated - Minimal harm Feb 6, 2020 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 1.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.6% Yes

Penalty History 1 penalties totaling $25K

Date Type Amount
Jan 29, 2025 Fine $25K

Frequently Asked Questions

What is the overall CMS rating for PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER reports 3.99 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68). Nursing staff turnover is 56.2%.
How many beds does PACIFIC HEIGHTS TRANSITIONAL CARE CENTER have?
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has 120 certified beds with approximately 109 residents. The facility is located at 2707 PINE STREET, SAN FRANCISCO, CA 94115.
Does PACIFIC HEIGHTS TRANSITIONAL CARE CENTER have any deficiencies on record?
Yes, PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has 39 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has PACIFIC HEIGHTS TRANSITIONAL CARE CENTER received any fines or penalties?
Yes, PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has received 1 penalties totaling $25K.
Who owns PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was PACIFIC HEIGHTS TRANSITIONAL CARE CENTER last inspected?
The most recent health inspection for PACIFIC HEIGHTS TRANSITIONAL CARE CENTER was on Aug 29, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial