Starfile / California

AHMC SETON MEDICAL CENTER

1900 SULLIVAN AVENUE, DALY CITY, CA 94015 · CCN 555235

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$48,836

Number of fines

3

Number of penalties

6

Payment denials

3

Chain

Chain

AHMC HEALTHCARE

Facilities in chain

5

Chain avg overall

3.00 / 5

Inspection citations (61)7 actual harm

1. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-08-15 · Health · corrected 2026-01-23

   Potential for more than minimal harm

2. DF0584Honor 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.2025-08-15 · Health · corrected 2025-09-30

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-15 · Health · corrected 2026-01-23

   Potential for more than minimal harm

4. DF0610Respond appropriately to all alleged violations.2025-08-15 · Health · corrected 2026-01-23

   Potential for more than minimal harm

5. DF0637Assess the resident when there is a significant change in condition2025-08-15 · Health · corrected 2025-09-30

   Potential for more than minimal harm

6. DF0641Ensure each resident receives an accurate assessment.2025-08-15 · Health · corrected 2025-09-30

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-15 · Health · corrected 2026-01-23

   Potential for more than minimal harm

8. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-15 · Health · corrected 2026-01-23

   Actual harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-15 · Health · corrected 2026-01-23

   Potential for more than minimal harm

10. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-08-15 · Health · corrected 2025-09-30

    Potential for more than minimal harm

11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-15 · Health · corrected 2025-09-30

    Potential for more than minimal harm

12. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-08-15 · Health · corrected 2026-01-23

    Potential for more than minimal harm

13. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-08-15 · Health · corrected 2026-01-23

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-08-15 · Health · corrected 2026-01-23

    Potential for more than minimal harm

15. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-16 · Health · corrected 2025-06-09

    Actual harm

16. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-08 · Health · corrected 2025-06-20

    Potential for more than minimal harm

17. DF0585Honor 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.2025-04-18 · Health · corrected 2025-06-06

    Potential for more than minimal harm

18. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

19. DF0584Honor 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.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

20. EF0585Honor 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.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

21. EF0641Ensure each resident receives an accurate assessment.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

23. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-14 · Health · corrected 2024-04-20

    Actual harm

24. EF0688Provide 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.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

25. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-14 · Health · corrected 2024-02-27

    Potential for more than minimal harm

26. GF0758Implement 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.2024-02-14 · Health · corrected 2024-03-14

    Actual harm

27. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-14 · Health · corrected 2024-02-21

    Potential for more than minimal harm

28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

29. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

30. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

31. DF0908Keep all essential equipment working safely.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

32. EF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

33. DF0924Put firmly secured handrails on each side of hallways.2024-02-14 · Health · corrected 2024-04-20

    Potential for more than minimal harm

34. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-02-15 · Health · corrected 2022-08-05

    Potential for more than minimal harm

35. DF0558Reasonably accommodate the needs and preferences of each resident.2022-02-15 · Health · corrected 2022-03-20

    Potential for more than minimal harm

36. HF0584Honor 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.2022-02-15 · Health · corrected 2022-03-31

    Actual harm

37. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-02-15 · Health · corrected 2022-03-31

    Potential for more than minimal harm

38. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

39. DF0641Ensure each resident receives an accurate assessment.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

40. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

42. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

43. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-02-15 · Health · corrected 2022-03-20

    Actual harm

44. GF0688Provide 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.2022-02-15 · Health · corrected 2022-07-15

    Actual harm

45. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-02-15 · Health · corrected 2022-07-30

    Potential for more than minimal harm

46. DF0692Provide enough food/fluids to maintain a resident's health.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

47. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

49. EF0759Ensure medication error rates are not 5 percent or greater.2022-02-15 · Health · corrected 2022-04-20

    Potential for more than minimal harm

50. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-02-15 · Health · corrected 2022-03-14

    Potential for more than minimal harm

51. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-02-15 · Health · corrected 2022-03-29

    Potential for more than minimal harm

52. EF0803Ensure 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.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

53. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-02-15 · Health · corrected 2022-08-04

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-15 · Health · corrected 2022-08-03

    Potential for more than minimal harm

55. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-02-15 · Health · corrected 2022-03-31

    Potential for more than minimal harm

56. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-02-15 · Health · corrected 2022-07-15

    Potential for more than minimal harm

57. EF0880Provide and implement an infection prevention and control program.2022-02-15 · Health · corrected 2022-08-05

    Potential for more than minimal harm

58. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-02-15 · Health · corrected 2022-03-31

    Potential for more than minimal harm

59. DF0888Ensure staff are vaccinated for COVID-192022-02-15 · Health · corrected 2022-04-15

    Potential for more than minimal harm

60. EF0908Keep all essential equipment working safely.2022-02-15 · Health · corrected 2022-08-05

    Potential for more than minimal harm

61. FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-02-15 · Health · corrected 2022-03-31

    Potential for more than minimal harm

Ownership

Other facilities in DALY CITY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.