City View Post Acute
- Reviewed By
Anthony C. Lanzone, Founding Partner
A review of public records for City View Post Acute shows several concerns involving staffing, care quality, and facility conditions. These include the following:
- Inspectors have noted deficiencies in the handling and investigation of alleged abuse incidents.
- A report described cockroaches, both live and dead, found in residents’ rooms, including on walls, in and on nightstands, and around garbage cans.
- The facility has faced one fine and a payment suspension totaling approximately $42,500 for documented deficiencies.
- Registered nurse turnover at City View Post Acute exceeds state and national averages.
City View Post Acute Overall Ratings, Reviews, and Complaints
City View Post Acute, located at 1359 Pine Street in San Francisco, holds an overall 5-star rating from Medicare.
The facility has earned above-average marks for health inspections and average staffing scores. However, Medicare also reports the facility has an average daily population of about 169 residents, with staff providing three hours and 53 minutes of care per resident each day, which falls below the California average of four hours and 31 minutes. The facility also shows a higher turnover rate among registered nurses than the state and national levels.
The facility received four out of five stars for health inspections, with eight citations over the past three years, fewer than both the state and national averages.
Despite these ratings, Yelp reviewers have reported concerns, including delays in care, limited staffing, poor hygiene, and missing belongings.
City View Post Acute Violations, Fines, and Deficiency History
Medicare’s Care Compare tool offers public access to health and complaint inspection reports from the past year. You can review older inspection reports through ProPublica, a nonprofit investigative journalism organization.
Records for City View Post Acute show a pattern of violations tied to resident quality of life and care, resident rights, and reporting of abuse allegations. Since 2020, the facility has received one fine of roughly $42,500. Several key violations are detailed below:
December 4, 2025: Failure To Safeguard the Personal Property of Residents
A resident reported that a black pouch containing about $2,000 went missing after a hospital transfer. He said he planned to give the pouch to the assistant director of nursing, or ADON, for safekeeping, but was hospitalized for breathing problems before he could do so.
Weeks earlier, a certified nursing assistant, or CNA, found the pouch in a day room and returned it. The resident counted the money in front of the CNA, confirming it held $1,000 in hundred-dollar bills at that time. The CNA told nursing staff and the ADON about the cash.
As of a December report, the money had not been found, and investigators could not verify the theft. The ADON said the pouch was never added to the resident’s inventory. The CNA reportedly received training on inventory procedures and securing valuables.
December 4, 2025: Failure To Prevent Insects and Other Pests
Inspectors cited the facility for inadequate pest control after discovering cockroaches, both alive and dead, in residents’ rooms. The report noted insects on walls, inside and on top of nightstands, and around garbage cans.
January 9, 2024: Failure To Develop Policies and Procedures To Prevent Abuse, and Other Deficiencies
The facility was fined $42,528 for several deficiencies, including failing to create proper policies to prevent abuse and failing to respond appropriately to reported incidents.
In one case, a CNA told a supervisor that a resident accused them of spanking another resident during a diaper change. The CNA denied the allegation and said they only turned the resident to provide care.
According to a January 2024 report, staff neither notified a physician nor filed a police report. The facility also failed to investigate the claim and allowed the CNA to return to work the next day. This response did not comply with the facility’s policy, which requires staff accused of abuse to be placed on leave during an investigation.
Inspectors also cited unrelated issues, including failure to meet residents’ care needs and failure to follow treatment plans and resident preferences.
January 25, 2024: Failure To Train Staff and Prevent Financial Abuse
The activity director received a report from a resident’s friend alleging that a staff member took money from the resident. The friend said the staff member would enter the room, cry, and ask for money to cover personal costs, including childcare, car insurance, and medical testing. The resident reportedly wrote checks totaling more than $4,500 to the staff member. The report notes that while abuse training is offered each year and as needed, the staff member did not attend in 2023.
California Nursing Home Residents’ Rights and Protections
California law protects nursing home residents by setting clear standards for care and safety. These key rights include:
- Dignity and protection from abuse: Residents must receive respectful care free from harm, abuse, or exploitation.
- Quality care and adequate staffing: Facilities must provide quality care and provide enough qualified staff.
- Safe and clean environment: Residents have the right to live in a safe and sanitary environment.
- Right to report issues: Residents can file complaints without fear of punishment.
At Lanzone Morgan, LLP, we stand with families like yours and take action through litigation to hold facilities accountable when they fail to provide safe, proper care. To learn more about these and other protections, read our full guide on California nursing home residents’ rights.
Start Your Journey to Justice Today with Lanzone Morgan, LLP
At Lanzone Morgan, LLP, we focus exclusively on nursing home abuse cases. That focus allows us to offer the experience and support families need during difficult times. Our attorneys bring more than 75 years of combined experience and a strong record of holding nursing homes accountable, having recovered over $250 million in settlements and verdicts for victims and their families.
We take on all types of nursing home abuse and neglect cases in San Francisco, including falls, fractures, infections, bedsores, sexual assault, malnutrition, overmedication, wandering, and wrongful death. You pay nothing up front, and there are no fees unless we win.
If you are concerned about the care a loved one has received at City View Post Acute, contact us online or call 888-887-9777 today for a free consultation.
Disclaimer: The inspection information provided above comes from public sources. Lanzone Morgan, LLP, cannot ensure that this page reflects the most current data or complete findings. For the latest information, visit https://projects.propublica.org/ or medicare.gov. Deficiencies listed may have been corrected since the inspection date and the time of publication. This page is a legal advertisement and information resource. It is not endorsed by the named facility or any government agency. Lanzone Morgan, LLP, is not affiliated with the facility discussed.
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
Health and Safety Code § 1599.1. (n.d.) California Legislative Information. (n.d.).https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1599.1
42 CFR § 483.10 – Grievances. Electronic Code of Federal Regulations. (n.d.). https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10#:~:text=%28j%29-,Grievances,-
42 CFR § 483.10 – Resident rights. Electronic Code of Federal Regulations. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10
Nursing home compare: City View Post Acute (056203) (n.d.) Medicare.gov. https://www.medicare.gov/care-compare/details/nursing-home/056203
City View Post Acute nursing home inspection records (H-056203). (n.d.) ProPublica. https://projects.propublica.org/nursing-homes/homes/h-056203/
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
Health and Safety Code § 1599.1. (n.d.) California Legislative Information. (n.d.).https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1599.1
42 CFR § 483.10 – Grievances. Electronic Code of Federal Regulations. (n.d.). https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10#:~:text=%28j%29-,Grievances,-
42 CFR § 483.10 – Resident rights. Electronic Code of Federal Regulations. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10
Nursing home compare: City View Post Acute (056203) (n.d.) Medicare.gov. https://www.medicare.gov/care-compare/details/nursing-home/056203
City View Post Acute nursing home inspection records (H-056203). (n.d.) ProPublica. https://projects.propublica.org/nursing-homes/homes/h-056203/