San Francisco Health Care

Name: San Francisco Health Care
Address: 1477 GROVE STREET, San Francisco, CA, 94117, US
Telephone: 4155630565

1477 Grove Street, San Francisco, CA 94117 · San Francisco County · 168 certified beds · avg 153 residents/day · certified since Dec 31, 1971

1/5

Health inspection rating (on-site)

Serious findings on record

$152,404

Fines, last 3 years

4.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 22, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 17, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 28, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 28, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 28, 2025 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 28, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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 28, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Apr 28, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 28, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 28, 2025	▲ G · Actual 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.
Feb 28, 2025	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 28, 2025	E · Potential for harm, repeated	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. · from a complaint
Feb 28, 2025	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.
Feb 28, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Feb 28, 2025	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.
Feb 28, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 28, 2025	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.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Aug 1, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Jan 22, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 22, 2024	F · Potential for harm, facility-wide	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 22, 2024	F · Potential for harm, facility-wide	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.
Jan 22, 2024	E · Potential for harm, repeated	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.
Jan 22, 2024	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Jan 22, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jan 22, 2024	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.
Jan 22, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 22, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jan 22, 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.
Jan 22, 2024	D · Potential for harm, one-off	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.
Jan 22, 2024	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
May 18, 2021	E · Potential for harm, repeated	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.
May 18, 2021	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.
May 18, 2021	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.
May 18, 2021	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.
May 18, 2021	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 18, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	E
2024	13	1	J ▲
2025	12	2	G ▲
2026	3	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)

2 fines totaling $152,404.

Date	Type	Amount / length
Feb 28, 2025	Fine	$28,529
Jan 22, 2024	Fine	$123,875

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)	4.00	4.31	3.95	bottom 41% in California; top 39% in the U.S.
Registered Nurse hours	0.80	0.61	0.69	top 17% in California; top 28% in the U.S.
Weekend total nurse staffing	3.77	3.90	3.50	top 48% in California; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.71	0.51	0.48	top 15% in California; top 15% in the U.S.
Total nursing staff turnover (%)	40.2	36.7	45.8	bottom 37% in California; top 37% 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 3.79, RN 0.75, weekend 3.57. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Stukov, Stan	Individual	5% or Greater Direct Ownership Interest	15%	10/11/2010
Stukov, Svetlana	Individual	5% or Greater Direct Ownership Interest	55%	10/11/2010
Stukov, Stan	Individual	W-2 Managing Employee	NOT APPLICABLE	10/11/2010
Stukov, Stan	Individual	Corporate Director	NOT APPLICABLE	10/11/2010
Stukov, Svetlana	Individual	W-2 Managing Employee	NOT APPLICABLE	10/11/2010
Stukov, Svetlana	Individual	Corporate Director	NOT APPLICABLE	10/11/2010

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"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
Hayes Convalescent Hospital	0.0 mi	San Francisco, CA	★★★★★	5/5
California Pacific Medical Ctr- Davies Campus Hosp	0.7 mi	San Francisco, CA	★★★★★	5/5
Central Gardens Post Acute	0.7 mi	San Francisco, CA	★★★★★	5/5
Pacific Heights Transitional Care Center	0.8 mi	San Francisco, CA	★★★★★	5/5
Sequoias San Francisco Convalescent Hospital	0.9 mi	San Francisco, CA	★★★★☆	3/5
Laurel Heights Community Care	0.9 mi	San Francisco, CA	★★★★★	4/5
Victorian Post Acute	1.0 mi	San Francisco, CA	★★★★★	4/5
St. Anne's Home	1.3 mi	San Francisco, CA	★★★☆☆	4/5
San Francisco Towers	1.4 mi	San Francisco, CA	★★★★★	5/5
City View Post Acute	1.5 mi	San Francisco, CA	★★☆☆☆	2/5
Lawton Skilled Nursing & Rehabilitation Center	1.6 mi	San Francisco, CA	★★★★★	5/5
Zuckerberg San Francisco General Hosp & Trauma SNF	2.1 mi	San Francisco, CA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in San Francisco →

Facility data as of CMS processing date 2026-08-01. CCN 056272.

The Care File

Visit checklist — San Francisco Health Care

1477 Grove Street, San Francisco, CA 94117 · 4155630565

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $152,404

Most serious findings on record:

▲ Jan 22, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Feb 28, 2025 (F-0689, Actual 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.
▲ Feb 28, 2025 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056272 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)