B83

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER

Grade B 83/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

$32,933

Last Survey

N/A

2707 PINE STREET, SAN FRANCISCO, CA 94115
4155637600

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.82h
LPN
0.77h
CNA
2.43h
Total
4.02h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SKBM LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2017

100%

ASPEN SKILLED HEALTHCARE INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2017

BRADSHAW, JEFFREY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2017

BRADY, VERN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2017

CASE, RYAN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2017

ASFP, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2018

BRADSHAW, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2017

BRADSHAW, JEFFREY

IndividualCORPORATE DIRECTORSince Sep 2017

BRADY, VERN

IndividualCORPORATE DIRECTORSince Sep 2017

CASE, RYAN

IndividualCORPORATE DIRECTORSince Sep 2017

BRADSHAW, JEFFREY

IndividualCORPORATE OFFICERSince Sep 2017

BRADY, VERN

IndividualCORPORATE OFFICERSince Sep 2017

CASE, RYAN

IndividualCORPORATE OFFICERSince Sep 2017

Penalties & Fines (2)

$32,933total fines
DateTypeDescriptionAmount
Jan 29, 2025Fine$25,490
Jan 18, 2023Fine$7,443

Health Inspection Deficiencies (40)

January 29, 2025Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

August 29, 2024Health11 deficiencies
0580EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Sep 26, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 26, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 26, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Sep 26, 2024
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 26, 2024
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 26, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Sep 26, 2024
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Sep 26, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Sep 26, 2024
0770DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Sep 26, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 26, 2024
September 12, 2023Health1 deficiency
0925DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Oct 3, 2023
July 20, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 18, 2023
July 3, 2023Health1 deficiency
0925EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Aug 4, 2023
June 2, 2023Health1 deficiency
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 4, 2023
March 30, 2023Health2 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 7, 2023
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Apr 7, 2023
February 10, 2023Health2 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 7, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 7, 2023
January 18, 2023Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
April 28, 2021Health8 deficiencies
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 11, 2021
0755FMinimal harm, Widespread

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

Pharmacy Service Deficiencies

Corrected Jun 11, 2021
0756EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Jun 11, 2021
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 11, 2021
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jun 11, 2021
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jun 11, 2021
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jun 11, 2021
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 11, 2021
February 6, 2020Health11 deficiencies
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Apr 16, 2020
0655DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 16, 2020
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 16, 2020
0676DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2020
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2020
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Apr 16, 2020
0688EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Apr 16, 2020
0697DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2020
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Apr 16, 2020
0803EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Apr 16, 2020
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Apr 16, 2020

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Frequently Asked Questions

What is the CareGrader rating for PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER in SAN FRANCISCO, California has a CareGrader grade of B (Good), with a composite score of 82.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PACIFIC HEIGHTS TRANSITIONAL CARE CENTER?

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PACIFIC HEIGHTS TRANSITIONAL CARE CENTER have?

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has 40 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has PACIFIC HEIGHTS TRANSITIONAL CARE CENTER been fined?

Yes. PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has $32,933 in total fines from CMS enforcement actions across 2 penalties.

How many beds does PACIFIC HEIGHTS TRANSITIONAL CARE CENTER have?

PACIFIC HEIGHTS TRANSITIONAL CARE CENTER has 120 certified beds with approximately 108 current residents (90% occupancy). The facility is located at 2707 PINE STREET, SAN FRANCISCO, California 94115. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.