Quick answers
- Where is Victorian Post Acute?
- 2121 Pine Street, San Francisco, CA 94115, in San Francisco County, California.
- What is the phone number of Victorian Post Acute?
- (415) 922-5085, as listed by Medicare (CMS).
- What is the Medicare star rating of Victorian Post Acute?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Victorian Post Acute been fined?
- Medicare lists no fines for Victorian Post Acute.
- What did inspectors find at Victorian Post Acute?
- In its last three inspection cycles (August 23, 2019 to February 20, 2025), Medicare lists 36 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 23, 2019 to February 20, 2025), Victorian Post Acute had 36 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.83 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 20, 2025 — 2 health citations
Inspections in this cycle: February 20, 2025 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: April 21, 2023 — 20 health citations
Inspections in this cycle: April 21, 2023 (standard health inspection).
Show 20 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0814 Level F
“Dispose of garbage and refuse properly.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0585 Level D
“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.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0912 Level D
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
Earlier cycle: August 23, 2019 — 14 health citations
Inspections in this cycle: August 23, 2019 (standard health inspection); March 7, 2024 (complaint investigation); March 8, 2024 (complaint investigation).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0745 Level G
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0732 Level F
“Post nurse staffing information every day.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0912 Level F
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0806 Level E
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0808 Level E
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (27)
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
E0039 Level F
“Conduct testing and exercise requirements.”
E0041 Level F
“Implement emergency and standby power systems.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0291 Level D
“Install emergency lighting that can last at least 1 1/2 hours.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0346 Level D
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0354 Level D
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
E0041 Level D
“Implement emergency and standby power systems.”
K0161 Level D
“Use approved construction type or materials.”
K0225 Level D
“Have stairways and smokeproof enclosures used as exits that meet safety requirements.”
K0291 Level D
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.56 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.78 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.50 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.83 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.71 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.40 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 48.1% | 36.6% | 45.3% |
| RN turnover (per year) | 30.8% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Golden Gateidence Opco LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Bay Area Master Tenant LLC | Direct owner | 100% | September 1, 2017 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 86.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Golden Gateidence Opco LLC |
| First approved by Medicare/Medicaid | 1967-10-31 |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2121 Pine Street, San Francisco, CA 94115 |
| County | San Francisco County |
| State | California |
| Phone | (415) 922‑5085 |
| CMS Certification Number | 055848 |
| Name in Medicare records | VICTORIAN POST ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Sequoias San Francisco Convalescent Hospital0.2 mi · San Francisco, CA · 2 of 5 stars
- Central Gardens Post Acute0.4 mi · San Francisco, CA · 5 of 5 stars
- Laurel Heights Community Care0.5 mi · San Francisco, CA · 5 of 5 stars
- San Francisco Towers0.6 mi · San Francisco, CA · 5 of 5 stars
- Pacific Heights Transitional Care Center0.6 mi · San Francisco, CA · 5 of 5 stars
Nearest hospital emergency rooms
- California Pacific Medical Center- Van Ness Campus0.5 mi · San Francisco, CA · Acute Care Hospital
- UCSF Health Hyde Hospital0.7 mi · San Francisco, CA · Acute Care Hospital
- Kaiser Foundation Hospital - San Francisco0.8 mi · San Francisco, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13