Nursing homes › California › City View Post Acute
1359 Pine Street, San Francisco, CA 94109 · 4156738405 · 180 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 3.92 (California median: 4.24). RN hours: 0.47. Weekend total: 3.64. Nursing staff turnover: 38%.
All-time on record: 47 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-06-17 |
| 2026-05-01 | Keep all essential equipment working safely. | F | Health | corrected 2026-06-17 |
| 2026-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-06-17 |
| 2026-05-01 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2026-06-17 |
| 2026-05-01 | 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. | E | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-06-17 |
| 2026-05-01 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | 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. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-06-17 |
| 2026-05-01 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2026-06-17 |
| 2025-12-04 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2026-01-23 |
| 2025-12-04 | 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. | D | complaint | corrected 2026-01-23 |
| 2025-12-04 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-01-23 |
| 2025-05-05 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2025-05-21 |
| 2025-05-05 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | complaint | corrected 2025-05-21 |
| 2025-04-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-05-09 |
| 2024-10-24 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-11-13 |
| 2024-10-24 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-11-13 |
| 2024-09-20 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2024-10-07 |
| 2024-05-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-06-26 |
| 2024-05-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-06-26 |
| 2024-02-29 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2024-04-19 |
| 2024-02-29 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2024-04-19 |
| 2024-02-29 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-04-19 |
| 2024-01-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-02-28 |
| 2024-01-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-02-28 |
| 2024-01-25 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2024-02-28 |
| 2024-01-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-02-28 |
| 2024-01-25 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | complaint | corrected 2024-02-28 |
| 2024-01-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-01-30 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-09 | Fine | $42,528 |
| 2024-01-09 | Payment Denial | 22 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/30/2023 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 02/10/2021 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 02/10/2021 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 02/10/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056203. Corrections: data@carerecords.org.