City View Post Acute
1359 Pine Street · San Francisco, CA · 94109 · 4156738405
180 certified beds For profit - Limited Liability company Chain: Pacs Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $42,528 |
Inspection citations (40 in the current record)
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Potential for harm · D December 4, 2025 · found via complaint
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.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 4, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 23, 2026 · Environmental
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Potential for harm · D May 5, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 21, 2025 · Resident Rights
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Potential for harm · D May 5, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · E April 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 26, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 26, 2024 · Pharmacy Service
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Potential for harm · D February 29, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D February 29, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 19, 2024 · Pharmacy Service
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Potential for harm · D January 25, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 25, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected February 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 30, 2024 · Quality of Life and Care
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Potential for harm · D January 9, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 30, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2024 | Fine | $42,528 |
| January 9, 2024 | Payment Denial | 22 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056203 · certified since December 31, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.