Victorian Post Acute
Nursing home in San Francisco, CA
Medicare & Medicaid certified5★ overall (CMS)
Public-record details
- Address
- 2121 Pine Street, San Francisco, CA 94115
- Phone
- (415) 922-5085
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 055848
- Overall star rating
- 5 of 5 ★★★★★
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 90
- Average residents per day
- 87
- Ownership
- For-profit, corporation
- Legal business name
- Golden Gateidence Opco LLC
- Chain
- Pacs Group (274 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Oct 31, 1967
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Feb 20, 2025. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 23, 2019 to Feb 20, 2025): 2 from complaint inspections, 2 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 20, 2025 | Ensure that residents are free from significant medication errors. | D |
| Feb 20, 2025 | Provide and implement an infection prevention and control program. | D |
| Mar 8, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Mar 7, 2024 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| Apr 21, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
| Apr 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. | D |
| Apr 21, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| Apr 21, 2023 | Assess the resident when there is a significant change in condition | D |
| Apr 21, 2023 | Assure that each resident’s assessment is updated at least once every 3 months. | D |
| Apr 21, 2023 | Ensure each resident receives an accurate assessment. | D |
| Apr 21, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Apr 21, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.82 hours
- Registered nurse (RN) time per resident per day
- 0.46 hours
- Nurse aide time per resident per day
- 2.51 hours
- Total nurse staffing on weekends
- 3.71 hours
- Nursing staff turnover (yearly)
- 44%
- RN turnover (yearly)
- 25%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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