Worth Considering
10
Facilities graded B or better with zero fines
Best Nursing Homes in San Francisco, California
10 of 18 nursing homes in San Francisco (56%) meet our strict criteria. The California statewide average is 29%.
10 recommended · 5 caution · 3 avoid · data
City Average
4.0
★
+0.00 vs state
Total Beds
2,322
across 18 facilities
High Risk Facilities
3
3 Grade F
$304,903 in combined fines
Zero Fines
12
/18
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 10?
The nursing home market in San Francisco is strong, with 18 facilities and 56% recommended. Families should be aware that while the top-rated facility, SAN FRANCISCO TOWERS, excels, there are 2 facilities with caution due to fines and 3 to avoid that have incurred a total of $217,230 in penalties.
Exceptional (Grade A, Trust Score 90+)
- 1 SAN FRANCISCO TOWERS (95) — San Francisco Towers stands out with an impressive Trust Score of 95/100 and a top-tier CMS rating of 5★. This non-profit facility emphasizes community-focused care and has maintained a Grade A+ with zero fines, ensuring a safe and supportive environment for its 27 residents.
- 2 SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL (93) — Sequoias San Francisco Convalescent Hospital boasts a Trust Score of 93/100 and a stellar CMS 5★ rating, reflecting its commitment to high-quality care. As a non-profit, it prioritizes community values and has achieved a Grade A with no fines, making it an excellent choice for its 50 beds.
Strong (Grade B+, Trust Score 80-89)
- 3 HAYES CONVALESCENT HOSPITAL (85) — Hayes Convalescent Hospital offers an impressive CMS 5★ rating and a Trust Score of 85/100, indicating reliable care. With a Grade B+ and zero fines, this for-profit facility provides a solid option for its 34 residents, ensuring a well-rounded experience.
- 4 CENTRAL GARDENS POST ACUTE (83) — Central Gardens Post Acute shines with a CMS 5★ rating and a Trust Score of 83/100, showcasing its commitment to quality care. This for-profit facility, with a Grade B+, operates 92 beds while maintaining a zero-fine record, making it a dependable choice.
- 5 SAN FRANCISCO POST ACUTE (83) — San Francisco Post Acute features a commendable CMS 5★ rating and a Trust Score of 83/100. With a Grade B+ and no fines, this for-profit facility offers quality care for its 53 residents, ensuring a supportive environment.
- 6 LAWTON SKILLED NURSING & REHABILITATION CENTER (80) — Lawton Skilled Nursing & Rehabilitation Center is recognized for its CMS 5★ rating and a Trust Score of 80/100. This for-profit facility, with a Grade B+ and zero fines, provides quality services for its 68 residents, fostering a caring atmosphere.
- 7 THE AVENUES TRANSITIONAL CARE CENTER (80) — The Avenues Transitional Care Center stands out with a CMS 5★ rating and a Trust Score of 80/100. This for-profit facility, offering 140 beds and a Grade B+, ensures quality care with a commitment to maintaining zero fines.
Qualified (Grade B, Trust Score 70-79)
- 8 ST. ANNE'S HOME (75) — St. Anne's Home, a non-profit facility, emphasizes community care with a Trust Score of 75/100 and a CMS rating of 4★. With a Grade B and 46 beds, it has a commitment to quality service while maintaining a zero fine record.
- 9 ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA SNF (75) — Zuckerberg San Francisco General Hospital & Trauma SNF offers a Trust Score of 75/100 and a CMS 4★ rating. As a government facility with a Grade B and 30 beds, it remains dedicated to providing quality care without any fines.
- 10 VICTORIAN POST ACUTE (73) — Victorian Post Acute is notable for its CMS 5★ rating and a Trust Score of 73/100. Operating as a for-profit with a Grade B, this facility accommodates 90 beds and maintains a strong focus on quality care with zero fines.
The other 8 San Francisco facilities didn't qualify — 3 carry Grade D or F ratings and 6 have fines totaling $304K.
Recommended
San Francisco Towers stands out with an impressive Trust Score of 95/100 and a top-tier CMS rating of 5★. This non-profit facility emphasizes community-focused care and has maintained a Grade A+ with zero fines, ensuring a safe and supportive environment for its 27 residents.
Sequoias San Francisco Convalescent Hospital boasts a Trust Score of 93/100 and a stellar CMS 5★ rating, reflecting its commitment to high-quality care. As a non-profit, it prioritizes community values and has achieved a Grade A with no fines, making it an excellent choice for its 50 beds.
Hayes Convalescent Hospital offers an impressive CMS 5★ rating and a Trust Score of 85/100, indicating reliable care. With a Grade B+ and zero fines, this for-profit facility provides a solid option for its 34 residents, ensuring a well-rounded experience.
Central Gardens Post Acute shines with a CMS 5★ rating and a Trust Score of 83/100, showcasing its commitment to quality care. This for-profit facility, with a Grade B+, operates 92 beds while maintaining a zero-fine record, making it a dependable choice.
San Francisco Post Acute features a commendable CMS 5★ rating and a Trust Score of 83/100. With a Grade B+ and no fines, this for-profit facility offers quality care for its 53 residents, ensuring a supportive environment.
Lawton Skilled Nursing & Rehabilitation Center is recognized for its CMS 5★ rating and a Trust Score of 80/100. This for-profit facility, with a Grade B+ and zero fines, provides quality services for its 68 residents, fostering a caring atmosphere.
The Avenues Transitional Care Center stands out with a CMS 5★ rating and a Trust Score of 80/100. This for-profit facility, offering 140 beds and a Grade B+, ensures quality care with a commitment to maintaining zero fines.
St. Anne's Home, a non-profit facility, emphasizes community care with a Trust Score of 75/100 and a CMS rating of 4★. With a Grade B and 46 beds, it has a commitment to quality service while maintaining a zero fine record.
Zuckerberg San Francisco General Hospital & Trauma SNF offers a Trust Score of 75/100 and a CMS 4★ rating. As a government facility with a Grade B and 30 beds, it remains dedicated to providing quality care without any fines.
Victorian Post Acute is notable for its CMS 5★ rating and a Trust Score of 73/100. Operating as a for-profit with a Grade B, this facility accommodates 90 beds and maintains a strong focus on quality care with zero fines.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Hidden Gem
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | San Francisco Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 4.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 8?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 3 Grade F — critical inspection failures
- Facilities with fines
- 6 Have fines totaling $304,903
- Low-scoring facilities
- 3 Scored below B — Trust Scores under 70
- Caution group
- 5 Had good grades but fines disqualified them
Questions San Francisco Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
San Francisco's city average is 4.0 stars
-
2
"Have you received any fines in the past 3 years?"
6 of 18 San Francisco facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; San Francisco avg is 0 min
-
4
"What were your most recent inspection findings?"
San Francisco facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in San Francisco, CA are recommended?
10 of 18 nursing homes in San Francisco (56%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in San Francisco "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in San Francisco?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.