Inspection citations
1’21
19’24
6’25
20’26
46 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 1, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| May 1, 2026 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| May 1, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| May 1, 2026 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| May 1, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 1, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 1, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 1, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 1, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 1, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 1, 2026 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| May 1, 2026 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| May 1, 2026 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| May 1, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| May 1, 2026 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| May 1, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 1, 2026 | D · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| May 1, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| May 1, 2026 | F · potential | Keep all essential equipment working safely. | Routine |
| May 1, 2026 | D · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Dec 4, 2025 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Complaint |
| Dec 4, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 4, 2025 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| May 5, 2025 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Complaint |
| May 5, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Complaint |
| Apr 15, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 24, 2024 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Oct 24, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Sep 20, 2024 | D · potential | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Complaint |
| May 17, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 17, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Feb 29, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Feb 29, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Feb 29, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Jan 25, 2024 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Jan 25, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 25, 2024 | D · potential | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Complaint |
| Jan 25, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 25, 2024 | D · potential | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Complaint |
| Jan 9, 2024 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Jan 9, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jan 9, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Jan 9, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 9, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 9, 2024 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Oct 21, 2021 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
City View Post Acute
1359 Pine Street, San Francisco, CA 94109 · (415) 673-8405
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056203
- Certified beds
- 180
- Legal owner
- Pine Street SNF LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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