10 Independent Nursing Homes in San Francisco County, California

Nurse hours

8.97 /day

Staff turnover

29%

Serious cites

0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

Nurse hours

5.20 /day

Staff turnover

26%

Serious cites

0

The Jewish Home & Rehab Center runs 362 beds on a nonprofit model, and its nurse staffing sits at 5.20 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday levels, and staff turnover comes in at 25.6% against a national 45.8%, so the same caregivers are likelier to still be there next year. What pulls against that picture is the inspection record: 52 deficiencies, including one at the harm level and seven tied to abuse, with the most recent inspection dated February 2026. Strong staffing and low turnover are real advantages, but the abuse-related findings are the part worth asking about directly.

Nurse hours

8.33 /day

Staff turnover

n/a

Serious cites

0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

Nurse hours

4.09 /day

Staff turnover

14%

Serious cites

0

Laurel Heights runs 4.09 nurse hours per resident day, roughly 6% above the national average, and its weekend staffing only dips about 3% below weekday levels, a small gap that matters when families visit on Saturdays and Sundays. Staff turnover sits at 14.3%, well under the national 45.8%, meaning the people caring for residents are more likely to still be there next year. The tradeoff is a longer deficiency record: 24 findings, one at the harm level, though none abuse-related, and a single $8,018 fine. Its last inspection was July 2025, and the 4/5 health inspection and 5/5 quality ratings suggest those issues aren't the whole story.

Nurse hours

4.60 /day

Staff turnover

33%

Serious cites

0

Sequoias San Francisco runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.7% sits well below the 45.8% national figure. Both matter, because consistent caregivers tend to know residents and catch changes early. Weekend staffing drops about 30% from weekday levels, so coverage isn't even across the week. The current record shows 15 deficiencies, none at the harm level and none abuse-related, with a 3/5 inspection rating and 2/5 on quality measures against 5/5 for staffing. As a nonprofit, it isn't answering to shareholders, which often shows up in exactly this pattern: strong staff numbers, middling clinical quality scores.

Nurse hours

4.00 /day

Staff turnover

44%

Serious cites

0

Hayes Convalescent Hospital is a small for-profit home in San Francisco, 34 beds, owned by a limited liability company. Its most recent inspection was in November 2025, and the record shows 10 deficiencies, none of which rose to harm or jeopardy, though one was abuse-related. Nurse staffing sits at 4.00 hours per resident day, modestly above the national average, and weekend coverage dips only slightly below weekdays. Annual turnover of 44.1% is a touch better than the national figure. The five-star health inspection rating is the standout here; the one abuse-related deficiency is worth asking about directly before you decide.

Nurse hours

5.30 /day

Staff turnover

n/a

Serious cites

0

Chinese Hospital's skilled nursing unit runs a tight 23-bed operation, and the staffing numbers show it: 5.30 nurse hours per resident day, roughly 37 percent above the national average. Weekends dip about 9 percent from weekday coverage, which is worth asking about if your family visits then. The current record carries 19 deficiencies, none at the harm or jeopardy level, though two are abuse-related, enough to warrant a direct question about what happened and what changed. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 4 out of 5. As a nonprofit, this home answers to a mission rather than shareholders, which tends to show in how it staffs.

Nurse hours

5.83 /day

Staff turnover

17%

Serious cites

0

Laguna Honda runs 769 certified beds in San Francisco, and its nurse staffing sits at 5.83 hours per resident day, roughly half again the national average, while annual turnover of 17.3% is far below the 45.8% typical elsewhere. That combination is unusual and worth noting, though weekend coverage drops about 22% from weekday levels. The inspection record is where the picture darkens: 40 deficiencies on file, six of them involving harm or jeopardy and seven tied to abuse, plus eight fines totaling $55,499. The most recent inspection was May 2, 2025, so the findings are current. Ownership is for-profit and individual. Strong staffing hasn't kept the regulatory record clean.

Nurse hours

3.79 /day

Staff turnover

40%

Serious cites

0

San Francisco Health Care runs 168 beds as a for-profit corporation, and its staffing sits just under the national average at 3.79 hours per resident day. Weekends dip about 6% below its own weekday coverage, so the hours aren't evenly spread across the week. The current record shows 34 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $152,404. Staff turnover at 40.2% is actually better than the 45.8% national figure, and the most recent inspection was February 2025. What pulls the record down is the inspection history and those harm-level findings, not the day-to-day staffing numbers.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

St. Anne's Home in San Francisco is a small nonprofit operation, 46 beds, and its state inspections have generally gone well enough to earn four out of five stars. On paper, that's the strongest thing going for it. The problem shows up in the staffing numbers, where CMS gives it just one star out of five, meaning it runs leaner on direct care than most homes in the country. Its inspection record lists 17 deficiencies, none of which involved actual harm or abuse, so nothing here suggests danger, just a home that passes its checkups while operating with fewer hands on deck than you'd probably want for a family member who needs daily help.