Victorian Post Acute
2121 Pine Street · San Francisco, CA · 94115 · 4159225085
90 certified beds For profit - Corporation Chain: Pacs Group
- No federal fines or payment denials in CMS’s 3-year window.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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 | 3.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.75 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · D February 20, 2025
Ensure that residents are free from significant medication errors.
Corrected March 14, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025
Provide and implement an infection prevention and control program.
Corrected March 14, 2025 · Infection Control
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Potential for harm · D March 8, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 5, 2024 · Resident Rights
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Potential for harm · D March 7, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 5, 2024 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 2, 2023 · Resident Rights
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Potential for harm · D April 21, 2023
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.
Corrected June 2, 2023 · Resident Rights
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Potential for harm · D April 21, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Assess the resident when there is a significant change in condition
Corrected June 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Ensure each resident receives an accurate assessment.
Corrected June 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 2, 2023 · Quality of Life and Care
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Potential for harm · E April 21, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 2, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 2, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 2, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 2, 2023 · Pharmacy Service
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Potential for harm · D April 21, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected June 2, 2023 · Pharmacy Service
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Potential for harm · D April 21, 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 June 2, 2023 · Pharmacy Service
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Potential for harm · F April 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 2, 2023 · Nutrition and Dietary
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Potential for harm · E April 21, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected June 2, 2023 · Nutrition and Dietary
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Potential for harm · F April 21, 2023
Dispose of garbage and refuse properly.
Corrected June 2, 2023 · Nutrition and Dietary
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Potential for harm · D April 21, 2023
Provide and implement an infection prevention and control program.
Corrected June 2, 2023 · Infection Control
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Potential for harm · D April 21, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 2, 2023 · Environmental
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Potential for harm · D April 21, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 2, 2023 · Environmental
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Actual harm · G August 23, 2019
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 7, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 055848 · certified since October 31, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.