Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SAN FRANCISCO POST ACUTE
SAN FRANCISCO, CA · 53 certified beds · Last Life Safety survey December 12, 2024
CMS Certification Number 056449 · first certified September 1977
Ownership
Operated by PACS GROUP · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within CA
39 citations — more than 96% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 17.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (December 2025 to June 2026). Most CA facilities have been surveyed by May 2027. This facility’s last Life Safety survey was December 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
15 of the 39 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 39 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 39 |
| Median facility in CA | 19 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 14, 2021 | 26 |
| October 6, 2023 | 9 |
| December 12, 2024 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0034 | Provide a means of sharing information on occupancy/needs. | 2 | 2023-10-06 |
| E-0015 | Address subsistence needs for staff and patients. | 2 | 2023-10-06 |
| K-0324 | Provide properly protected cooking facilities. | 2 | 2023-10-06 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2024-12-12 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2024-12-12 |
| K-0711 | Provide a written emergency evacuation plan. | 2 | 2024-12-12 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2021-10-14 |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 1 | 2021-10-14 |
What the citations cover
- Emergency Preparedness Deficiencies 15
- Smoke Deficiencies 12
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Egress Deficiencies 3
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 15 |
| Smoke Deficiencies | 12 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 3 |
| Construction Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 12, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 26, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 26, 2024) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (December 26, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (December 26, 2024) |
October 6, 2023 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (October 27, 2023) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (October 27, 2023) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (October 27, 2023) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (October 27, 2023) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (October 27, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (October 27, 2023) |
| K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Deficient, Provider has date of correction (October 27, 2023) |
| K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Deficient, Provider has date of correction (October 27, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 27, 2023) |
October 14, 2021 — 26 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (December 21, 2021) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (December 21, 2021) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (December 21, 2021) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (December 21, 2021) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.