Inspection citations
8’21
11’24
1’25
4’26
24 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 13, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 13, 2026 | E · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Mar 13, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 13, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 29, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 29, 2024 | E · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Aug 29, 2024 | 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. | Routine |
| Aug 29, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 29, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Aug 29, 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. | Routine |
| Aug 29, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Aug 29, 2024 | C · minimal | Post nurse staffing information every day. | Routine |
| Aug 29, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 29, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 29, 2024 | D · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Routine |
| Aug 29, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 28, 2021 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 28, 2021 | F · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 28, 2021 | E · 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 |
| Apr 28, 2021 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Apr 28, 2021 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 28, 2021 | E · 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 |
| Apr 28, 2021 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 28, 2021 | E · potential | Provide and implement an infection prevention and control program. | 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
Pacific Heights Transitional Care Center
2707 Pine Street, San Francisco, CA 94115 · (415) 563-7600
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056176
- Certified beds
- 120
- Legal owner
- Asfp, LLC
- Part of
- Aspen Skilled Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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