St. Anne's Home
300 Lake Street · San Francisco, CA · 94118 · 4157516510
46 certified beds Non profit - Corporation
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · F November 17, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 17, 2023 · Nursing and Physician Services
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Potential for harm · D November 17, 2023
Post nurse staffing information every day.
Corrected November 17, 2023 · Nursing and Physician Services
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Potential for harm · D November 17, 2023
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.
Corrected November 17, 2023 · Pharmacy Service
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Potential for harm · D November 17, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 3, 2023 · Nutrition and Dietary
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Potential for harm · E November 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 11, 2023 · Nutrition and Dietary
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Potential for harm · E November 17, 2023
Dispose of garbage and refuse properly.
Corrected December 12, 2023 · Nutrition and Dietary
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Potential for harm · E November 17, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 13, 2023 · Environmental
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Potential for harm · D November 17, 2023 · 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 November 17, 2023 · Nursing and Physician Services
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Potential for harm · D December 17, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 7, 2022 · Resident Rights
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Potential for harm · D December 17, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2021
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 7, 2022 · Quality of Life and Care
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Potential for harm · D December 17, 2021
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected January 7, 2022 · Nutrition and Dietary
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Potential for harm · F December 17, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 7, 2022 · Nutrition and Dietary
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Potential for harm · F March 25, 2019
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 10, 2019 · Quality of Life and Care
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Potential for harm · E March 25, 2019
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.
Corrected May 10, 2019 · Nutrition and Dietary
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Potential for harm · E March 25, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 10, 2019 · Nutrition and Dietary
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Potential for harm · F March 25, 2019
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 10, 2019 · Administration
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 05A290 · certified since May 3, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.