LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF

CMS abuse icon · In hospital · CCN 555929 · CITY & COUNTY OF SAN FRANCISCO · For profit - Individual · 769 certified beds · San Francisco · CA


LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF is a 769-bed nursing home in SAN FRANCISCO, California. CMS has certified it for Medicare and Medicaid since 2024-05-30. It averages 590.3 residents a day.

What harm was found in the violations cited at LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF?

CMS lists 40 health-inspection deficiencies for LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-23.

Survey dateTagDeficiencySeverity
2026-04-23F0584Honor 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.D
2025-08-01F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-06-04F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-05-02F0814, F0925Dispose of garbage and refuse properly. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-05-02F0552, F0554, F0655, F0658, F0755, F0802, F0812Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-11-08F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2024-11-08F0656, F0684, F0758, F0759Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure medication error rates are not 5 percent or greater.D
2024-10-02F0687Provide appropriate foot care.D
2024-05-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-04-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-04-19F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-02-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-02-09F0656, F0684Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2023-12-01F0656, F0689, F0880, F0908Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.E
2023-12-01F0604, F0609, F0657, F0658, F0677, F0684, F0688, F0759, F0761, F0812, F0883Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF fined 8 times?

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

How is LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day5.834654.51570
Total nursing staff turnover (%)17.336.7
Average number of residents per day590.387.9

Who owns LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF?

LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF is registered with CMS as For profit - Individual, operates under the legal business name CITY & COUNTY OF SAN FRANCISCO.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCITY & COUNTY OF SAN FRANCISCOsince 01/01/1966
CORPORATE DIRECTORARNOLD, TIMOTHY, ISTVAN, THOMASsince 08/01/2023
OPERATIONAL/MANAGERIAL CONTROLCARTON-WADE, JENNIFER, DREW, JEFFREY, LAM, ALBERT, SIDHU, DILTAR, TALAI, NAWZANEENsince 01/16/2024
ADP OF THE SNFARNOLD, TIMOTHY, CARTON-WADE, JENNIFER, DREW, JEFFREY, ISTVAN, THOMAS, LAM, ALBERT, SIDHU, DILTAR, TALAI, NAWZANEENsince 01/16/2024

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