Lawton Skilled Nursing & Rehabilitation Center
1575 7th Avenue, San Francisco, CA 94122 · San Francisco County · 68 certified beds · avg 56 residents/day · certified since Feb 1, 1971
Part of chain: GENERATIONS HEALTHCARE (27 facilities, chain avg rating 4.1★)
5/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 17, 2026 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Nov 1, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 1, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 1, 2024 | E · Potential for harm, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Nov 1, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 1, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 18, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Mar 24, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 24, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 24, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 24, 2023 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Mar 24, 2023 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | E |
| 2024 | 5 | 0 | F |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 4.31 | 3.95 | bottom 32% in California; top 45% in the U.S. |
| Registered Nurse hours | 1.22 | 0.61 | 0.69 | top 6% in California; top 9% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.90 | 3.50 | bottom 14% in California; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.34 | 0.51 | 0.48 | top 5% in California; top 3% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 36.7 | 45.8 | bottom 38% in California; top 36% in the U.S. |
| RN turnover (%) | 50.0 | 38.1 | 42.9 | bottom 29% in California; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.36, RN 1.37, weekend 3.68. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Life Generations Healthcare, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/20/2017 |
| Mastrocola, Lois | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/20/2017 |
| Olds, Thomas | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/20/2017 |
| Smith, Fred | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/20/2017 |
| Bme Holdco a LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2017 |
| Bme Holdco a LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2017 |
| Bmo Bank National Association | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/30/2024 |
| Bmo Bank National Association | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/30/2024 |
| Bmo Bank National Association | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2025 |
| Cerin, Luisito | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2020 |
| Cerin, Luisito | Individual | ADP of the SNF | NOT APPLICABLE | 07/07/2020 |
| Clayson, Darby | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Clayson, Darby | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2019 |
| Daly, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2017 |
| Daly, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 09/18/2017 |
| Daragan, Nataliya | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/30/2017 |
| Daragan, Nataliya | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2017 |
| GHC Master San Fran, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/20/2017 |
| GHC Master San Fran, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2025 |
| Leong, Dorothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/23/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can I see the actual room my family member would live in before we decide?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Laguna Honda Hospital & Rehabilitation Ctr D/P SNF | 0.8 mi | San Francisco, CA | ★★★☆☆ | 2/5 | abuse |
| The Avenues Transitional Care Center | 1.3 mi | San Francisco, CA | ★★★★★ | 3/5 | |
| Hayes Convalescent Hospital | 1.6 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| San Francisco Health Care | 1.6 mi | San Francisco, CA | ★☆☆☆☆ | 1/5 | |
| California Pacific Medical Ctr- Davies Campus Hosp | 1.8 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| St. Anne's Home | 1.9 mi | San Francisco, CA | ★★★☆☆ | 4/5 | |
| Pacific Heights Transitional Care Center | 2.2 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Laurel Heights Community Care | 2.3 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Central Gardens Post Acute | 2.3 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Sequoias San Francisco Convalescent Hospital | 2.5 mi | San Francisco, CA | ★★★★☆ | 3/5 | |
| Victorian Post Acute | 2.6 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Jewish Home & Rehab Center D/P SNF | 2.7 mi | San Francisco, CA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 055175.