Sequoias San Francisco Convalescent Hospital
1400 Geary Blvd, San Francisco, CA 94109 · San Francisco County · 50 certified beds · avg 39 residents/day · certified since Jun 18, 1969
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 (15)
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 |
|---|---|---|
| Feb 17, 2026 | 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. |
| Feb 17, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 17, 2026 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Feb 17, 2026 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Feb 17, 2026 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 17, 2026 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 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. |
| May 12, 2023 | 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. |
| May 12, 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. |
| May 12, 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. |
| May 12, 2023 | 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. |
| May 12, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 12, 2023 | 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. |
| May 12, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 2 | 0 | D |
| 2026 | 6 | 0 | F |
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) | 5.54 | 4.31 | 3.95 | top 7% in California; top 7% in the U.S. |
| Registered Nurse hours | 1.75 | 0.61 | 0.69 | top 3% in California; top 3% in the U.S. |
| Weekend total nurse staffing | 3.89 | 3.90 | 3.50 | top 40% in California; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.51 | 0.48 | top 18% in California; top 20% in the U.S. |
| Total nursing staff turnover (%) | 32.7 | 36.7 | 45.8 | top 39% in California; top 19% in the U.S. |
| RN turnover (%) | 13.3 | 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 4.60, RN 1.45, weekend 3.23. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sequoia Living INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/18/1969 |
| Agostino, Valerie | Individual | Corporate Director | NOT APPLICABLE | 12/07/2020 |
| Atwood, Martha | Individual | Corporate Officer | NOT APPLICABLE | 01/03/1994 |
| Atwood, Martha | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Corriea, Richard | Individual | Corporate Director | NOT APPLICABLE | 05/19/2021 |
| Goddard, Glen | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/01/2016 |
| Goddard, Glen | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/22/2024 |
| Goddard, Glen | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Herman, Steven | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Howie, Carl | Individual | Corporate Director | NOT APPLICABLE | 05/01/2011 |
| Ito, Holly | Individual | Corporate Director | NOT APPLICABLE | 10/25/2022 |
| Jamison, David | Individual | Corporate Director | NOT APPLICABLE | 05/01/2014 |
| Lim, Marianne | Individual | Corporate Director | NOT APPLICABLE | 07/21/2020 |
| Lynn, Patricia | Individual | Corporate Director | NOT APPLICABLE | 04/29/2020 |
| Mayeda, Nancy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| McVey, Sarah | Individual | Corporate Officer | NOT APPLICABLE | 09/24/2019 |
| McVey, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Sanderson, Cory | Individual | Corporate Director | NOT APPLICABLE | 05/29/2024 |
| Sequoia Living INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Shoemake, Charles | Individual | Corporate Officer | NOT APPLICABLE | 08/14/2020 |
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?"
- "Can I see where garbage is stored and how often it's removed?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Central Gardens Post Acute | 0.2 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Victorian Post Acute | 0.2 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Pacific Heights Transitional Care Center | 0.6 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Laurel Heights Community Care | 0.6 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| San Francisco Towers | 0.6 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| City View Post Acute | 0.6 mi | San Francisco, CA | ★★☆☆☆ | 2/5 | |
| San Francisco Health Care | 0.9 mi | San Francisco, CA | ★☆☆☆☆ | 1/5 | |
| Hayes Convalescent Hospital | 0.9 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| California Pacific Medical Ctr- Davies Campus Hosp | 1.1 mi | San Francisco, CA | ★★★★★ | 5/5 | |
| Chinese Hospital D/P SNF | 1.3 mi | San Francisco, CA | ★★★★☆ | 4/5 | |
| St. Anne's Home | 1.6 mi | San Francisco, CA | ★★★☆☆ | 4/5 | |
| Zuckerberg San Francisco General Hosp & Trauma SNF | 2.3 mi | San Francisco, CA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 056071.