Starfile / California

VICTORIAN POST ACUTE

2121 PINE STREET, SAN FRANCISCO, CA 94115 · CCN 055848

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 (36)2 actual harm

1. DF0760Ensure that residents are free from significant medication errors.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

2. DF0880Provide and implement an infection prevention and control program.2025-02-20 · Health · corrected 2025-03-14

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-08 · Health · corrected 2024-06-05

   Potential for more than minimal harm

4. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-07 · Health · corrected 2024-06-05

   Potential for more than minimal harm

5. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-04-21 · Health · corrected 2023-06-02

   Potential for more than minimal harm

6. 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.2023-04-21 · Health · corrected 2023-06-02

   Potential for more than minimal harm

7. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-04-21 · Health · corrected 2023-06-02

   Potential for more than minimal harm

8. DF0637Assess the resident when there is a significant change in condition2023-04-21 · Health · corrected 2023-06-02

   Potential for more than minimal harm

9. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-04-21 · Health · corrected 2023-06-02

   Potential for more than minimal harm

10. DF0641Ensure each resident receives an accurate assessment.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

13. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

14. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

15. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

17. DF0759Ensure medication error rates are not 5 percent or greater.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

18. 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.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

19. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

20. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

21. FF0814Dispose of garbage and refuse properly.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

22. DF0880Provide and implement an infection prevention and control program.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

23. DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

24. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-04-21 · Health · corrected 2023-06-02

    Potential for more than minimal harm

25. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

26. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

28. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

29. GF0697Provide safe, appropriate pain management for a resident who requires such services.2019-08-23 · Health · corrected 2019-11-07

    Actual harm

30. FF0732Post nurse staffing information every day.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

31. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2019-08-23 · Health · corrected 2019-11-07

    Actual harm

32. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

33. EF0808Ensure 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.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

35. DF0825Provide or get specialized rehabilitative services as required for a resident.2019-08-23 · Health · corrected 2019-11-07

    Potential for more than minimal harm

36. FF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2019-08-23 · Health · corrected 2019-11-07

    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.