Quick answer: A serious bedsore (stage 3 or 4) in a San Francisco nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message.
That is a reassuring profile. But a strong average does not protect a specific resident, and a couple of the city's homes carry one- and two-star records with heavy fines and repeat penalties. A serious pressure ulcer at one of those homes is worth a close look.
If your loved one developed a bedsore in a San Francisco nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. Because we once defended facilities like this one, we know where the answers are, and you pay nothing unless we win.
Nursing home records in San Francisco County
San Francisco County has 18 federally certified nursing facilities with 2,322 licensed beds. Since 1997, state inspectors have issued 130 citations against San Francisco County facilities, including 1 class AA citation and 28 class A citations. Facilities in the county have been assessed $649,560 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
17 of those enforcement actions were connected to a resident's death.
One San Francisco County facility currently carries the federal abuse warning icon.
The county's facilities average 4.3 of 5 stars on the federal rating system. 2 of 18 facilities hold a 1 or 2 star overall rating.
San Francisco County facilities have been assessed $296,624 in federal fines.
The most cited nursing homes in San Francisco County
- Laguna Honda Hospital & Rehabilitation Ctr D/P SNF (56 citations)
- San Francisco Health Care (17 citations)
- City View Post Acute (15 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in San Francisco
A bedsore is a repositioning failure.
By reported nurse staffing, these are the lowest homes in the county in the CMS data. San Francisco Health Care in San Francisco reports 3.79 nursing hours per resident per day against a state average of 4.52, with a 1 star overall rating and a 1 star health inspection rating. It also carries a 4 star staffing rating and $152,404 in federal fines across 2 federal penalties. In San Francisco, Central Gardens Post Acute reports 3.80 nursing hours per resident per day, where the state average is 4.52, with a 5 star overall rating and a 5 star health inspection rating. It carries a 3 star staffing rating as well. Staffing at Victorian Post Acute in San Francisco is 3.82 nursing hours per resident per day against 4.52 statewide, with a 5 star overall rating and a 4 star health inspection rating. It carries a 3 star staffing rating as well. 2 of the county's 18 homes hold a 1 or 2 star overall rating.
A strong city-wide average does not answer for a pressure sore at a home with that record.
Before you accept a facility's explanation for a bedsore, check its record in our San Francisco nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How San Francisco families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the San Francisco Long-Term Care Ombudsman (Felton Institute) at (415) 751-9788, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact San Francisco Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
A single phone call can tell you whether you have a case. It is free and confidential. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. In the years since, they have recovered millions for California families in elder abuse and neglect cases. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. At a home with heavy fines and repeat penalties, that gap is the first thing to check. As San Francisco nursing home abuse lawyers, we handle these cases across the city and throughout California.
Talk to a San Francisco bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve families throughout San Francisco and across California, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
If San Francisco homes rate well, can a bedsore still be neglect?
Yes. A strong city-wide average does not tell you whether your specific parent was repositioned as their care plan required, and a couple of the city's homes carry heavy fines and penalties. If a serious ulcer developed, the records for that resident answer the question.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in San Francisco County?
San Francisco County has 18 federally certified nursing facilities with 2,322 licensed beds. Every one of them is listed in our San Francisco County nursing home directory with its ratings, staffing, citations and fines.
Do San Francisco County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 130 citations against San Francisco County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our San Francisco County nursing home directory with its ratings, staffing, citations and fines.
Which San Francisco nursing homes carry a one-star overall CMS rating or the highest published fine totals?
By the current CMS data, these are the homes in San Francisco County with the lowest overall CMS ratings. San Francisco Health Care in San Francisco carries a 1 star overall rating and a 1 star health inspection rating and $152,404 in federal fines across 2 federal penalties. City View Post Acute in San Francisco carries a 2 star overall rating and a 2 star health inspection rating and $42,528 in federal fines across 1 federal penalty. Laguna Honda Hospital & Rehabilitation Ctr D/P SNF in San Francisco carries a 3 star overall rating and a 2 star health inspection rating, $55,499 in federal fines across 8 federal penalties and the federal abuse warning icon. Every San Francisco County home's full record, with its ratings, staffing, citations and fines, is in our San Francisco County nursing home directory.
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Disclaimer: facility ratings, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.