Nursing homes › California › San Francisco › Victorian Post Acute
2121 Pine Street, San Francisco, CA 94115 · (415) 922-5085 · 90 certified beds
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Open your comparisonCMS overall star rating: this provider 5/5; median among 1,154 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Pacs Group, a group operating 274 facilities in 16 states. Group record: average rating 2.9/5, 28 abuse citation icons, 12 facilities on the Special Focus list, $8,781,073 in federal fines. This facility rates above its group average (2.9/5).
Total nurse staffing: 3.82 (California median: 4.24). RN hours: 0.46. Weekend total: 3.71. Nursing staff turnover: 44%.
In the downloaded CMS dataset: 36 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-02-20 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-03-14 |
| 2025-02-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-03-14 |
| 2024-03-08 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-05 |
| 2024-03-07 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-06-05 |
| 2023-04-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-06-02 |
| 2023-04-21 | Dispose of garbage and refuse properly. | F | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2023-06-02 |
| 2023-04-21 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2023-06-02 |
| 2023-04-21 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Honor 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. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Assess the resident when there is a significant change in condition | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | 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 2023-06-02 |
| 2023-04-21 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Health | corrected 2023-06-02 |
| 2023-04-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2023-06-02 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BAY AREA MASTER TENANT LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 09/01/2017 |
| JERGENSEN, JOSHUA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
| PORTIER, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| RUSSELL, MATTHEW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/07/2019 |
How to cite this page: CareRecords, “Victorian Post Acute — compliance, penalty and ownership record” (CCN 055848), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/victorian-post-acute-san-francisco-ca/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055848. Corrections: data@carerecords.org.