Starfile / California

CENTRAL GARDENS POST ACUTE

1355 ELLIS STREET, SAN FRANCISCO, CA 94115 · CCN 055280

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

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (34)

1. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-20 · Health · corrected 2025-03-13

   Potential for more than minimal harm

2. DF0759Ensure medication error rates are not 5 percent or greater.2025-02-20 · Health · corrected 2025-03-13

   Potential for more than minimal harm

3. DF0880Provide and implement an infection prevention and control program.2025-02-20 · Health · corrected 2025-03-13

   Potential for more than minimal harm

4. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-25 · Health · corrected 2024-05-31

   Potential for more than minimal harm

5. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-25 · Health · corrected 2024-05-31

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-27 · Health · corrected 2024-05-01

   Potential for more than minimal harm

7. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-26 · Health · corrected 2023-06-24

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-26 · Health · corrected 2023-06-24

   Potential for more than minimal harm

9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-26 · Health · corrected 2023-06-24

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-26 · Health · corrected 2023-06-24

    Potential for more than minimal harm

11. EF0759Ensure medication error rates are not 5 percent or greater.2023-05-26 · Health · corrected 2023-06-24

    Potential for more than minimal harm

12. DF0761Ensure 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.2023-05-26 · Health · corrected 2023-06-24

    Potential for more than minimal harm

13. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-05-26 · Health · corrected 2023-06-24

    Potential for more than minimal harm

14. EF0880Provide and implement an infection prevention and control program.2023-05-26 · Health · corrected 2023-06-24

    Potential for more than minimal harm

15. DF0610Respond appropriately to all alleged violations.2023-05-19 · Health · corrected 2023-06-06

    Potential for more than minimal harm

16. DF0641Ensure each resident receives an accurate assessment.2023-05-19 · Health · corrected 2023-06-06

    Potential for more than minimal harm

17. DF0908Keep all essential equipment working safely.2023-03-15 · Health · corrected 2023-03-30

    Potential for more than minimal harm

18. EF0584Honor 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.2023-03-14 · Health · corrected 2023-04-04

    Potential for more than minimal harm

19. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-14 · Health · corrected 2023-04-04

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2023-03-14 · Health · corrected 2023-04-04

    Potential for more than minimal harm

21. DF0610Respond appropriately to all alleged violations.2023-03-13 · Health · corrected 2023-03-30

    Potential for more than minimal harm

22. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-03-13 · Health · corrected 2023-03-30

    Potential for more than minimal harm

23. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

24. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

25. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

26. DF0688Provide 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.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

28. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

29. EF0759Ensure medication error rates are not 5 percent or greater.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

30. EF0760Ensure that residents are free from significant medication errors.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

31. EF0761Ensure 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.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

32. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

33. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

34. FF0880Provide and implement an infection prevention and control program.2019-10-04 · Health · corrected 2019-11-12

    Potential for more than minimal harm

Ownership

Other facilities in SAN FRANCISCO

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