15 Nursing Homes That Accept Medicaid in San Francisco, CA

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

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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

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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

4.36 /day

Staff turnover

40%

Serious cites

0

Lawton Skilled Nursing runs 4.36 nurse hours per resident per day, about 13% above the national average, and turnover sits at 40%, better than the typical 45.8%. Those are real advantages. But weekends drop roughly 15% below its own weekday staffing, so the coverage families see Monday isn't what shows up Saturday. The record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection is dated April 2026. This is a for-profit LLC with 68 beds. Strong inspection and quality scores, thinner weekend coverage, and a clean harm record for a mid-size for-profit, a reasonable picture with one gap worth asking about directly.

Nurse hours

3.80 /day

Staff turnover

32%

Serious cites

0

Central Gardens Post Acute runs 92 beds in San Francisco under for-profit LLC ownership, and its inspection record is the strongest thing it has going. A February 2025 survey is recent, the health inspection and quality measure ratings are both 5 out of 5, and none of the 26 deficiencies on file rose to harm or jeopardy level, though one is abuse-related, worth asking about directly. Staffing is where it thins out. At 3.80 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 9% below its own weekday coverage. Turnover at 31.7% is well below the national 45.8%, which suggests people stay. Ask how weekend coverage actually looks on the shift you'd visit.

Nurse hours

3.97 /day

Staff turnover

38%

Serious cites

0

The Avenues Transitional Care Center is a for-profit, LLC-owned home in San Francisco with 140 certified beds, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover runs 38%, better than the 45.8% national figure, though weekend coverage dips about 6% below weekday levels. The current inspection record shows 21 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $12,685, a light financial penalty given the volume. Federal ratings put quality measures and staffing at the top of the scale, with inspections at the middle, and the most recent survey came in March 2025. Strong day-to-day care numbers, but that harm-level finding and the deficiency count are worth asking about directly.

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

4.09 /day

Staff turnover

42%

Serious cites

0

Pacific Heights Transitional Care Center runs on 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends drop about 9% below its own weekday staffing. Staff turnover sits at 42%, a bit better than the 45.8% national figure. The record shows 27 deficiencies, none involving harm or abuse, along with one fine of $25,490, and the most recent inspection was March 13, 2026. This is a for-profit LLC with 120 certified beds and a 4-out-of-5 inspection rating. What stands out most is the combination of steady weekday coverage, no harm-level findings, and turnover that beats the norm.

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

3.82 /day

Staff turnover

44%

Serious cites

0

Victorian Post Acute sits in San Francisco with 90 certified beds, run by a for-profit corporation. Staffing runs 3.82 hours per resident day, just under the national average, and weekends dip about 3% below the home's own weekday level, small gaps, but ones families often feel on Saturdays and Sundays. Turnover lands at 44.1%, slightly better than the national rate. Inspections are current, from February 2025, and the health inspection rating is strong, though the record carries 36 deficiencies, including two at harm or jeopardy level and one abuse-related. Quality measures score well; staffing sits in the middle.

Nurse hours

4.35 /day

Staff turnover

36%

Serious cites

0

San Francisco Post Acute runs about 4.35 nursing hours per resident per day, roughly 13% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, people tend to stay here longer than at the typical home. The catch is how thin weekends get: staffing drops about 9% below the home's own weekday level, which matters if your family visits or calls on a Saturday. Twenty-four deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the last inspection was December 2024. Ownership is a for-profit limited liability company.

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

3.92 /day

Staff turnover

38%

Serious cites

0

City View Post Acute runs 180 beds in San Francisco under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, so the care you see on a Tuesday may not match a Sunday. Staff turnover is 38.2%, better than the national 45.8%, which suggests some stability. What pulls the record down is the inspection side: 47 deficiencies on file, including 7 tied to abuse, plus a $42,528 fine and a two-star health inspection rating, though nothing reached harm or jeopardy level. The most recent inspection was May 2026, so the picture is current.

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.