Nursing Care Index

Pacific Heights Transitional Care Center

San Francisco, San Francisco County, California · CCN 056176 · For-profit (LLC) · part of Aspen Skilled Healthcare (35 facilities, chain average 3.7 stars)

CMS rates Pacific Heights Transitional Care Center 5 of 5 overall as of August 2026. 120 certified beds, 115 residents a day on average. 25 citations on record from the current inspection cycles; 1 fine totalling $25,490.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing4.09296 hours per resident per day
Registered nurses0.81736 hours per resident per day
Weekend total3.73757 hours per resident per day
Nursing staff turnover42% (registered nurses 45.8%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-13 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-03
2026-03-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-03
2026-03-13 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-03
2026-03-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-03
2025-01-29
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2024-08-29 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-26
2024-08-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-26
2024-08-29 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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-26
2024-08-29 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-09-26
2023-09-12
complaint survey
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-03
2021-04-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-06-11
2021-04-28 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-11
2021-04-28 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-11

Fines and payment denials

DatePenaltyAmount
2025-01-29Fine$25,490

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Skbm LLC
Organization
5% or greater direct ownership interest100%2017-09-01
Aspen Healthcare Services LLC
Organization
adp of the snf2023-01-01
Moss Adams LLP
Organization
adp of the snf2018-12-20
Sequoia Healthcare Group LLC
Organization
adp of the snf2023-01-01
Asfp, LLC
Organization
direct ownership interest2018-12-20
Sequoia Healthcare Group LLC
Organization
indirect ownership interest2023-01-01
Asfp, LLC
Organization
operational/managerial control2018-12-20
Aquino, Jocelyn
Individual
adp of the snf2017-09-01
Gerding, Goeffrey
Individual
adp of the snf2020-02-17
Jurado, Frank
Individual
adp of the snf2023-01-01
Patel, Miteshkumar
Individual
adp of the snf2019-08-01
Paxman, Marcus
Individual
adp of the snf2023-01-01
Rawe, Colton
Individual
adp of the snf2023-01-01
Bradshaw, Jeffrey
Individual
corporate director2017-09-01
Brady, Vern
Individual
corporate director2017-09-01
Case, Ryan
Individual
corporate director2017-09-01
Bradshaw, Jeffrey
Individual
corporate officer2017-09-01
Brady, Vern
Individual
corporate officer2017-09-01
Case, Ryan
Individual
corporate officer2017-09-01
Bradshaw, Peter
Individual
indirect ownership interest2023-07-07
Elsner, Eric
Individual
indirect ownership interest2018-12-20
Parti, Shruty
Individual
indirect ownership interest2018-12-20
Paxman, Marcus
Individual
indirect ownership interest2022-04-01
Bradshaw, Jeffrey
Individual
individual is an owner, partner or trustee of any adp of the snf2026-04-29
Kirkwood, Jared
Individual
limited partnership interest2019-01-01
Orgill, Craig
Individual
limited partnership interest2019-01-01
Parti, Rajesh
Individual
limited partnership interest2018-12-20
Rawe, Colton
Individual
managing control - governing body2023-01-01
Aquino, Jocelyn
Individual
operational/managerial control2017-09-01
Bradshaw, Jeffrey
Individual
operational/managerial control2017-09-01
Gerding, Goeffrey
Individual
operational/managerial control2020-02-17
Rawe, Colton
Individual
operational/managerial control2023-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in San Francisco County.