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-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 4.09296 hours per resident per day |
|---|---|
| Registered nurses | 0.81736 hours per resident per day |
| Weekend total | 3.73757 hours per resident per day |
| Nursing staff turnover | 42% (registered nurses 45.8%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-29 | Fine | $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.
| Name | Role | Share | Since |
|---|---|---|---|
| Skbm LLC Organization | 5% or greater direct ownership interest | 100% | 2017-09-01 |
| Aspen Healthcare Services LLC Organization | adp of the snf | — | 2023-01-01 |
| Moss Adams LLP Organization | adp of the snf | — | 2018-12-20 |
| Sequoia Healthcare Group LLC Organization | adp of the snf | — | 2023-01-01 |
| Asfp, LLC Organization | direct ownership interest | — | 2018-12-20 |
| Sequoia Healthcare Group LLC Organization | indirect ownership interest | — | 2023-01-01 |
| Asfp, LLC Organization | operational/managerial control | — | 2018-12-20 |
| Aquino, Jocelyn Individual | adp of the snf | — | 2017-09-01 |
| Gerding, Goeffrey Individual | adp of the snf | — | 2020-02-17 |
| Jurado, Frank Individual | adp of the snf | — | 2023-01-01 |
| Patel, Miteshkumar Individual | adp of the snf | — | 2019-08-01 |
| Paxman, Marcus Individual | adp of the snf | — | 2023-01-01 |
| Rawe, Colton Individual | adp of the snf | — | 2023-01-01 |
| Bradshaw, Jeffrey Individual | corporate director | — | 2017-09-01 |
| Brady, Vern Individual | corporate director | — | 2017-09-01 |
| Case, Ryan Individual | corporate director | — | 2017-09-01 |
| Bradshaw, Jeffrey Individual | corporate officer | — | 2017-09-01 |
| Brady, Vern Individual | corporate officer | — | 2017-09-01 |
| Case, Ryan Individual | corporate officer | — | 2017-09-01 |
| Bradshaw, Peter Individual | indirect ownership interest | — | 2023-07-07 |
| Elsner, Eric Individual | indirect ownership interest | — | 2018-12-20 |
| Parti, Shruty Individual | indirect ownership interest | — | 2018-12-20 |
| Paxman, Marcus Individual | indirect ownership interest | — | 2022-04-01 |
| Bradshaw, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-29 |
| Kirkwood, Jared Individual | limited partnership interest | — | 2019-01-01 |
| Orgill, Craig Individual | limited partnership interest | — | 2019-01-01 |
| Parti, Rajesh Individual | limited partnership interest | — | 2018-12-20 |
| Rawe, Colton Individual | managing control - governing body | — | 2023-01-01 |
| Aquino, Jocelyn Individual | operational/managerial control | — | 2017-09-01 |
| Bradshaw, Jeffrey Individual | operational/managerial control | — | 2017-09-01 |
| Gerding, Goeffrey Individual | operational/managerial control | — | 2020-02-17 |
| Rawe, Colton Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Pacific Heights Transitional Care Center.
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.