SNF
VICTORIAN POST ACUTE
CCN: 055848 · SAN FRANCISCO, CA 94115 · San Francisco County
Overview
- Address
- 2121 PINE STREET, SAN FRANCISCO, CA 94115
- Phone
- 4159225085
- Certified beds
- 90
- Avg daily residents
- 87 (97% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-10-31
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.86 | 4.34 | 3.43 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.58 | 0.76 | 0.52 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.75 | 0.96 | 0.67 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.52 | 2.62 | 2.24 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.33 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.13 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.69
hrs / resident / day
RN (weekend)
0.46
hrs / resident / day
Total nurse (adjusted, weekend)
3.28
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
40.0%
annual
RN turnover
18.2%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.54
higher acuity than avg
Case-Mix Index Ratio
1.12
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-02-20 | 2 | 2 | 0 | 8 | 1 | 8 |
| Cycle 2/3 (prior) | 2023-04-21 | 22 | 20 | 3 | 120 | 1 | 120 |
Total weighted health score
36.0
lower is better
Deficiencies (36)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
34 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-02-20 | 2025-03-14 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-02-20 | 2025-03-14 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-08 | 2024-06-05 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-03-07 | 2024-06-05 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-04-21 | 2023-06-02 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-04-21 | 2023-06-02 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2023-04-21 | 2023-06-02 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2023-04-21 | 2023-06-02 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-04-21 | 2023-06-02 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-04-21 | 2023-06-02 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-21 | 2023-06-02 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2023-04-21 | 2023-06-02 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-04-21 | 2023-06-02 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-04-21 | 2023-06-02 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-04-21 | 2023-06-02 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-04-21 | 2023-06-02 |
| 0761 | 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. | D | 2023-04-21 | 2023-06-02 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-21 | 2023-06-02 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2023-04-21 | 2023-06-02 |
| 0814 | Dispose of garbage and refuse properly. | F | 2023-04-21 | 2023-06-02 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-04-21 | 2023-06-02 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2023-04-21 | 2023-06-02 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-04-21 | 2023-06-02 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-04-21 | 2023-06-02 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-08-23 | 2019-11-07 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2019-08-23 | 2019-11-07 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2019-08-23 | 2019-11-07 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2019-08-23 | 2019-11-07 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2019-08-23 | 2019-11-07 |
| 0732 | Post nurse staffing information every day. | F | 2019-08-23 | 2019-11-07 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | 2019-08-23 | 2019-11-07 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2019-08-23 | 2019-11-07 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2019-08-23 | 2019-11-07 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-08-23 | 2019-11-07 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2019-08-23 | 2019-11-07 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | 2019-08-23 | 2019-11-07 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 69.0% Medicaid 19.9% Other 11.0%
Operating performance
Operating Margin
14.8%
Total Margin
14.9%
Occupancy Rate
42.0%
Cost per Resident Day
$177
Revenue & costs
Net Patient Revenue
$18.9M
Total Costs
$2.4M
Net Income
$2.8M
Balance sheet
Total Assets
$16.4M
Total Liabilities
$2.3M
Fund Balance
$14.1M
Current Ratio
11.05
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: PACS GROUP
- Chain ID
690- Facilities in chain
- 264
- Legal business name
- GOLDEN GATEIDENCE OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
2.4
QM
4.2
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| BAY AREA MASTER TENANT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| PROVIDENCE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/01/2017 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| HANCOCK, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/31/2020 |
| MURRAY, JASON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/31/2020 |
| RUSSELL, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | since 01/07/2019 |
| APT, FREDERICK | CORPORATE OFFICER | since 02/10/2021 |
| HANCOCK, MARK | CORPORATE OFFICER | since 07/17/2017 |
| MITCHELL, JOHN | CORPORATE OFFICER | since 02/10/2021 |
| MURRAY, JASON | CORPORATE OFFICER | since 07/17/2017 |
| RUSSELL, MATTHEW | W-2 MANAGING EMPLOYEE | since 01/07/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $177 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 11.05 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 19.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 69.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $2,831,260 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $18,947,837 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 42.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 14.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $16,400,689 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,432,680 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $14,118,267 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,282,422 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 14.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.66598 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.24250 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.51758 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.42606 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.27651 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 87.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.96414 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.62032 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.75996 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.34442 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.82915 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 690 | Chain ID |
| Provider Information | Chain Name | PACS GROUP | Chain Name |
| Provider Information | City/Town | SAN FRANCISCO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 055848 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | San Francisco | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-10-31 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.7883 | Latitude |
| Provider Information | Legal Business Name | GOLDEN GATEIDENCE OPCO LLC | Legal Business Name |
| Provider Information | Location | 2121 PINE STREET,SAN FRANCISCO,CA,94115 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.43 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 90 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 264 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.53903 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.11715 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2121 PINE STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | VICTORIAN POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 480 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-02-20 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 20 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-04-21 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 120 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 120 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 22 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.45504 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 18.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.33177 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.74938 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.52332 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.12969 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.58239 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.85509 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 4159225085 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.68682 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 40.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 36.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 94115 | ZIP Code |