nursing home in San Francisco, CA

Victorian Post Acute

2121 Pine Street, San Francisco, CA 94115 · (415) 922-5085

★★★★★5

Much above average
CMS overall star rating

Health inspections★★★★★4
Staffing★★★★★3
Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Victorian Post Acute at a glance

Victorian Post Acute is a 90-bed for-profit nursing home in San Francisco, California (San Francisco County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the California average of 3.2.

Residents receive about 3.8 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (February 20, 2025) found 2 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 44.1% per year (state average 36.7%).

Facility details

Type: Nursing home
Ownership: For Profit - Corporation
Beds: 90
Certified for: Medicare and Medicaid
Chain / affiliated entity: Pacs Group
Medicare-certified since: October 31, 1967
Resident/family council: None
County: San Francisco County
CMS Certification Number: 055848

Ratings

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Overall star rating ⓘ (higher is better)	5 / 5	3.2 / 5	3 / 5	Better
Health inspection rating ⓘ (higher is better)	4 / 5	2.8 / 5	2.8 / 5	Better
Staffing rating ⓘ (higher is better)	3 / 5	3.3 / 5	2.9 / 5	Average
Quality measures rating ⓘ (higher is better)	5 / 5	4.1 / 5	3.6 / 5	Better
Long-stay quality rating (higher is better)	5 / 5	4.4 / 5	3.8 / 5	Better
Short-stay (rehab) quality rating (higher is better)	4 / 5	3.6 / 5	3.3 / 5	Better

Staffing

Total nurse staff hours per resident per day: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)	3.82 hrs	4.52 hrs	3.86 hrs	Average
Registered nurse hours per resident per day (higher is better)	0.46 hrs	0.67 hrs	0.69 hrs	Worse
Nurse aide hours per resident per day (higher is better)	2.51 hrs	2.65 hrs	2.32 hrs	Better
Weekend nurse staff hours per resident per day (higher is better)	3.71 hrs	4.09 hrs	3.42 hrs	Better
Nursing staff turnover (yearly) (lower is better)	44.1%	36.7%	45.8%	Average
Registered nurse turnover (yearly) (lower is better)	25%	38.1%	42.9%	Better
Administrators who left in the past year (lower is better)	0	0	1	Better

Inspections

Health citations in the most recent inspection: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Health citations in the most recent inspection (lower is better)	2	16	9	Better
Citations from complaint investigations (latest cycle) (lower is better)	0	4	3	Better
Weighted health inspection score ⓘ (lower is better)	36	105.8	80.6	Better

Penalties

Fines in the past 3 years: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Fines in the past 3 years (lower is better)	0	1	1	Better
Total fines in the past 3 years (lower is better)	$0	$23,986	$30,972	Better
All federal penalties in the past 3 years (lower is better)	0	1	1	Better

Size

Measure	This facility	California avg.	U.S. avg.
Certified beds	90	99	107
Average residents per day	87	88	86
Occupancy	96.3%	88.4%	80.9%

Long-stay residents

Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)	0.4%	1.6%	3.2%	Better
Long-stay residents with pressure ulcers (lower is better)	0.9%	4.3%	4.6%	Better
Long-stay residents given antipsychotic medication (lower is better)	2.6%	12%	15.4%	Better
Long-stay residents with a urinary tract infection (lower is better)	0%	1.2%	1.6%	Better
Long-stay residents with a catheter left in the bladder (lower is better)	0.2%	0.8%	0.8%	Better
Long-stay residents needing more help with daily activities (lower is better)	3.4%	10.2%	13.9%	Better
Long-stay residents whose walking worsened (lower is better)	7.6%	9.8%	14.1%	Better
Long-stay residents who lose too much weight (lower is better)	3.6%	4%	5.2%	Better
Long-stay residents with depressive symptoms (lower is better)	5.9%	7.3%	12.8%	Better
Long-stay residents who were physically restrained (lower is better)	0%	0.4%	0.1%	Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)	4%	13.7%	19.5%	Better
Long-stay residents with new or worse incontinence (lower is better)	21.8%	10.2%	19%	Worse
Long-stay residents given a flu vaccine (higher is better)	100%	98.2%	95.5%	Average
Long-stay residents given a pneumonia vaccine (higher is better)	100%	98.6%	93.6%	Better

Short-stay residents

Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)	1.2%	1.5%	1.6%	Better
Short-stay residents given a flu vaccine (higher is better)	100%	93.2%	79.8%	Better
Short-stay residents given a pneumonia vaccine (higher is better)	100%	94.4%	82%	Better

Inspection citations

State inspectors cited this home for 36 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.

Date	Citation	Severity	Status
February 20, 2025 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	D Potential harm, isolated	Corrected February 25, 2025
February 20, 2025 Fire safety	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920	D Potential harm, isolated	Corrected February 25, 2025
February 20, 2025 Fire safety	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355	D Potential harm, isolated	Corrected February 25, 2025
February 20, 2025 Fire safety	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712	C No harm, widespread	Corrected February 25, 2025
February 20, 2025 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected March 14, 2025
February 20, 2025 Standard	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760	D Potential harm, isolated	Corrected March 14, 2025
March 8, 2024 Complaint	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	D Potential harm, isolated	Corrected June 5, 2024
March 7, 2024 Complaint	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697	D Potential harm, isolated	Corrected June 5, 2024
April 21, 2023 Fire safety	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920	F Potential harm, widespread	Corrected May 11, 2023
April 21, 2023 Fire safety	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039	F Potential harm, widespread	Corrected May 11, 2023
April 21, 2023 Fire safety	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041	F Potential harm, widespread	Corrected May 11, 2023
April 21, 2023 Fire safety	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347	F Potential harm, widespread	Corrected May 11, 2023
April 21, 2023 Fire safety	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918	F Potential harm, widespread	Corrected May 11, 2023
April 21, 2023 Fire safety	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712	E Potential harm, pattern	Corrected May 11, 2023
April 21, 2023 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	E Potential harm, pattern	Corrected May 11, 2023
April 21, 2023 Fire safety	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321	E Potential harm, pattern	Corrected May 11, 2023
April 21, 2023 Fire safety	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Fire safety	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Fire safety	Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Fire safety	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Fire safety	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Fire safety	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354	D Potential harm, isolated	Corrected May 11, 2023
April 21, 2023 Standard	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814	F Potential harm, widespread	Corrected June 2, 2023
April 21, 2023 Standard	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	F Potential harm, widespread	Corrected June 2, 2023
April 21, 2023 Standard	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698	E Potential harm, pattern	Corrected June 2, 2023
April 21, 2023 Standard	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813	E Potential harm, pattern	Corrected June 2, 2023
April 21, 2023 Standard	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	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 Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	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	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	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. Resident Rights Deficiencies · Tag F0585	D Potential harm, isolated	Corrected June 2, 2023
April 21, 2023 Standard	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636	D Potential harm, isolated	Corrected June 2, 2023
August 23, 2019 Fire safety	Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324	E Potential harm, pattern	Corrected October 15, 2019
August 23, 2019 Fire safety	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345	E Potential harm, pattern	Corrected October 15, 2019
August 23, 2019 Fire safety	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Use approved construction type or materials. Construction Deficiencies · Tag K0161	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Fire safety	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511	D Potential harm, isolated	Corrected October 15, 2019
August 23, 2019 Standard	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697	G Actual harm, isolated	Corrected November 7, 2019
August 23, 2019 Standard	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745	G Actual harm, isolated	Corrected November 7, 2019
August 23, 2019 Standard	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912	F Potential harm, widespread	Corrected November 7, 2019
August 23, 2019 Standard	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	F Potential harm, widespread	Corrected November 7, 2019
August 23, 2019 Standard	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732	F Potential harm, widespread	Corrected November 7, 2019
August 23, 2019 Standard	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. Nutrition and Dietary Deficiencies · Tag F0808	E Potential harm, pattern	Corrected November 7, 2019
August 23, 2019 Standard	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623	E Potential harm, pattern	Corrected November 7, 2019
August 23, 2019 Standard	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806	E Potential harm, pattern	Corrected November 7, 2019
August 23, 2019 Standard	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657	D Potential harm, isolated	Corrected November 7, 2019
August 23, 2019 Standard	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661	D Potential harm, isolated	Corrected November 7, 2019
August 23, 2019 Standard	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609	D Potential harm, isolated	Corrected November 7, 2019
August 23, 2019 Standard	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825	D Potential harm, isolated	Corrected November 7, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

Name	Role	Share	Since
BAY AREA MASTER TENANT LLC Organization	5% or greater direct ownership interest	100%	09/01/2017
PORTIER, DAVID Individual	adp of the snf	NOT APPLICABLE	05/01/2026
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC Organization	adp of the snf	NOT APPLICABLE	11/05/2021
RUSSELL, MATTHEW Individual	adp of the snf	NOT APPLICABLE	01/07/2019
JERGENSEN, JOSHUA Individual	managing control - governing body	NOT APPLICABLE	01/01/2024
MITCHELL, JOHN Individual	managing control - governing body	NOT APPLICABLE	01/01/2024
JERGENSEN, JOSHUA Individual	operational/managerial control	NOT APPLICABLE	01/01/2024
MITCHELL, JOHN Individual	operational/managerial control	NOT APPLICABLE	01/01/2024
PORTIER, DAVID Individual	operational/managerial control	NOT APPLICABLE	01/01/2019
RUSSELL, MATTHEW Individual	operational/managerial control	NOT APPLICABLE	01/07/2019

Frequently asked questions

What is Victorian Post Acute's rating?

Victorian Post Acute has 5 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Victorian Post Acute receive?

Its most recent standard health inspection found 2 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Victorian Post Acute accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Victorian Post Acute?

It is for profit - corporation and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Victorian Post Acute and how do I contact it?

Victorian Post Acute is at 2121 Pine Street, San Francisco, CA 94115. Phone: (415) 922-5085.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.