Laguna Honda Hospital & Rehabilitation CTR D/P SNF

Nursing Home · San Francisco, CA

CMS overall rating 3/5 Abuse citation For profit - Individual

CMS certification number555929
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

375 Laguna Honda Blvd.
San Francisco, CA 94116
San Francisco County
Phone
(415) 759-2300
ZIP code
94116 – all care providers

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Facility details

Certified beds
769
Residents per day
590.3 (77% occupied)
Ownership
For profit - Individual
Legal name
City & County of San Francisco
Medicare certified since
May 30, 2024
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.3
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.83 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
2.08 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.78 (state 1.20 · U.S. 0.86)
Nurse aides
2.97 (state 2.65 · U.S. 2.32)
Weekend total
4.54 (state 4.09 · U.S. 3.42)
Nursing staff turnover
17.3 (state 36.7 · U.S. 45.8)%
RN turnover
20.2 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 2, 2025
Health deficiencies (last cycle)
11.0 (state 15.7 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
40 health · 39 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-23 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-22
2025-08-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-08-27
2025-06-04 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-04
2025-05-02 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2025-05-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-01
2024-11-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-11-08 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-11-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-11-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-11-08 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-11-08 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-08
2024-10-02 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-05-03 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-05-28
2024-04-19 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-05-28
2024-04-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-28
2024-02-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-03-27
2024-02-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-03-27
2024-02-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-03-27
2023-12-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31
2023-12-01 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

8 penalties in the last three years, including $55,499 in fines.

DateTypeAmount
2025-08-01Fine$17,323
2024-02-20Fine$4,938
2024-02-12Fine$4,938
2024-01-22Fine$12,534
2024-01-08Fine$3,418
2024-01-02Fine$2,823
2023-12-11Fine$6,351
2023-11-06Fine$3,174

Ownership & management

NameRoleSince
City & County of San Francisco (organization)5%+ Direct Ownership Interest · 100%
Arnold, Timothy (individual)Administrator · NOT APPLICABLE
Carton-Wade, Jennifer (individual)Administrator · NOT APPLICABLE
Drew, Jeffrey (individual)Administrator · NOT APPLICABLE
Istvan, Thomas (individual)Administrator · NOT APPLICABLE
Lam, Albert (individual)Administrator · NOT APPLICABLE
Sidhu, Diltar (individual)Administrator · NOT APPLICABLE
Talai, Nawzaneen (individual)Administrator · NOT APPLICABLE
Arnold, Timothy (individual)Corporate Director · NOT APPLICABLE
Istvan, Thomas (individual)Corporate Director · NOT APPLICABLE
Carton-Wade, Jennifer (individual)Operational/managerial Control · NOT APPLICABLE
Drew, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Lam, Albert (individual)Operational/managerial Control · NOT APPLICABLE
Sidhu, Diltar (individual)Operational/managerial Control · NOT APPLICABLE
Talai, Nawzaneen (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Laguna Honda Hospital & Rehabilitation CTR D/P SNF?

Laguna Honda Hospital & Rehabilitation CTR D/P SNF has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Laguna Honda Hospital & Rehabilitation CTR D/P SNF have?

It has 769 certified beds and cares for about 590 residents per day.

Has Laguna Honda Hospital & Rehabilitation CTR D/P SNF been fined?

Yes. CMS lists 8 penalties totaling $55,499 in the last three years.

What is the phone number of Laguna Honda Hospital & Rehabilitation CTR D/P SNF?

(415) 759-2300. The facility is located at 375 Laguna Honda Blvd., San Francisco, CA 94116.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.