San Francisco Towers
1661 Pine Street, San Francisco, CA 94109 · San Francisco County · 27 certified beds · avg 15 residents/day · certified since Jul 28, 1998
Part of chain: FRONT PORCH (9 facilities, chain avg rating 4.8★)
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 (11)
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 |
|---|---|---|
| Dec 4, 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. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jun 7, 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. |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 7, 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. |
| Mar 16, 2023 | D · Potential for harm, one-off | 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 16, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Mar 16, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 3 | 0 | F |
| 2025 | 5 | 0 | E |
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) | 6.27 | 4.31 | 3.95 | top 4% in California; top 3% in the U.S. |
| Registered Nurse hours | 1.94 | 0.61 | 0.69 | top 2% in California; top 2% in the U.S. |
| Weekend total nurse staffing | 5.52 | 3.90 | 3.50 | top 4% in California; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.68 | 0.51 | 0.48 | top 3% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 13.0 | 36.7 | 45.8 | top 2% in California; top 1% in the U.S. |
| RN turnover (%) | 14.3 | 38.1 | 42.9 | top 10% in California; top 7% 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 6.88, RN 2.13, weekend 6.05. Staffing rating: 5/5.
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: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Front Porch Communities and Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2022 |
| Akopyan, Gevork | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/12/2022 |
| Arroyo, Jeniffer | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2020 |
| Duranteau, Nancy | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Forte, Vincent | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Front Porch Communities and Services | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2022 |
| Haman, Aissatou | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2020 |
| Haman, Aissatou | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2020 |
| Handy, Joanne | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Ichien, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/04/2018 |
| Jacobs, Laura | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Kelly, Sean | Individual | Corporate Officer | NOT APPLICABLE | 03/06/2023 |
| Kelly, Sean | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/06/2023 |
| Kroeker, Kevin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Macango, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2026 |
| McGovern, Marion | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| McMullin, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Nitsche, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2022 |
| Olson, Kari | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Omole, Akindele | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/19/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 | Flags |
|---|---|---|---|---|---|
| City View Post Acute | 0.0 mi | San Francisco, CA | ★★☆☆☆ | 2/5 | |
| Victorian Post Acute | 0.6 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Sequoias San Francisco Convalescent Hospital | 0.6 mi | San Francisco, CA | ★★★★☆ | 3/5 | |
| Central Gardens Post Acute | 0.7 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Chinese Hospital D/P SNF | 0.7 mi | San Francisco, CA | ★★★★☆ | 4/5 | |
| Laurel Heights Community Care | 1.1 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Pacific Heights Transitional Care Center | 1.1 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| San Francisco Health Care | 1.4 mi | San Francisco, CA | ★☆☆☆☆ | 1/5 | |
| Hayes Convalescent Hospital | 1.5 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| California Pacific Medical Ctr- Davies Campus Hosp | 1.5 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| St. Anne's Home | 2.2 mi | San Francisco, CA | ★★★☆☆ | 4/5 | |
| Zuckerberg San Francisco General Hosp & Trauma SNF | 2.4 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 555728.