Laguna Honda Hospital
Nursing Home Facility
375 Laguna Honda Blvd., San Francisco, CA 94116
Laguna Honda’s extensive renovation and replacement is a significant step on a journey from institution to community. The 500,000 square feet of new construction and 150,000 square feet of remodeling help to move one of the nation’s largest single-site skilled nursing and rehabilitation facilities toward a model of care that emphasizes community-building.
With 769 beds, Laguna Honda Hospital is one of the larger communities in the area, senior care communities in San Francisco average about 95 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 77% of its licensed beds. That is below the San Francisco average of roughly 87%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Francisco average about 4.1 stars. The individual scores differ noticeably: 5 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2025 and recorded 11 deficiencies.
Residents receive about 5.8 hours of nursing care per day on average, including 2.1 hours from a registered nurse. Communities in San Francisco average about 4.5 hours. Nursing staff turnover over the past year was about 17%.
The community is located in San Francisco County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 40 problems at Laguna Honda Hospital. 6 findings involved harm to a resident. 14 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 8 times, a total of $55,499.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Dispose of garbage and refuse properly.
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Could cause more than minimal harm, widespread
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
Show 3 more
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Laguna Honda Hospital offers memory care, nursing home care, and senior living.
Facility details
- Organization type Government - City/county
- Beds / units 769
- Occupancy 77%
- Nursing hours per resident/day 5.8
- Annual staff turnover 17%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Laguna Honda Hospital yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.