Central Gardens Post Acute
Central Gardens Post Acute
4.4 (91 reviews)
Skilled Nursing Facility • 92 Licensed Beds
1355 Ellis Street, San Francisco, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Central Gardens Post Acute

Skilled Nursing Facility • 92 Licensed Beds
1355 Ellis Street,
San Francisco, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Central Gardens Post Acute – Medicare Certified Since 1967

We believe in providing premium care, and we make every effort to ensure our staff and our programs meet the needs of our patients. Our Mission is Committed to excellence in serving our community. Our Vision is to be the premier provider of post-acute care by perfecting our core competencies. Operational Effectiveness: We will be wise stewards of our resources in order to provide the highest level of service to our customers. Clinical Excellence: We will deliver the best clinical care to each customer in a personalized way. Employee Engagement: We value our employees as our most important resource. Fun: We will create and install fun and enjoyment in everything we do. Our Values: Excellence: We strive to do our best at all times, and continuously look for ways to improve. Trust: We act with integrity and assume the same of each other. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual respect: We treat others the way we want to be treated. Love: we recognize that love is the essence behind providing care to the most vulnerable and sick in our communities. We will respect and value this important responsibility.
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Local Comparison Snapshot

How Central Gardens Post Acute compares to 33 facilities in San Francisco-San Mateo-Redwood City, CA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
5
3.8
Quality Measures
Clinical outcomes & safety
5
4.1
Health Inspections
State survey results
4
3.4
Staffing
Nurse-to-resident ratio
3
3.4
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.70 hrs
1.21 hrs
LPN/LVN Hours
Licensed practical nurses
0.77 hrs
0.89 hrs
CNA Hours
Certified nursing assistants
2.37 hrs
2.48 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.84 hrs
4.57 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
5.8 %
LPN/LVN Agency Use
% of LPN hours from contractors
12.1 %
4.9 %
CNA Agency Use
% of CNA hours from contractors
12.5 %
8.0 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
27 %
35 %
Occupancy Rate
Percentage of beds filled
94 %
78 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$661
$608
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 33 facilities in San Francisco-San Mateo-Redwood City, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
5/5
Quality Measures
5/5
Health Inspections
4/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 33 other nursing homes in San Francisco-San Mateo-Redwood City, CA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Central Gardens Post Acute
San Francisco-San Mateo-Redwood City, CA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Central Gardens Post Acute
San Francisco-San Mateo-Redwood City, CA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Central Gardens Post Acute
San Francisco-San Mateo-Redwood City, CA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Central Gardens Post Acute
San Francisco-San Mateo-Redwood City, CA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
142
minutes/day
CNAs
Certified Nursing Assistants
46
minutes/day
LVNs
Licensed Vocational Nurses
42
minutes/day
RNs
Registered Nurses
11
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Central Gardens Post Acute
San Francisco-San Mateo-Redwood City, CA Average (78%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$661
per resident per day
Compared to 31 facilities in your area
Above local median ($608)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
17% 4% Above
Net Income
Annual profit or loss
$3,449,908 $822,596 Above
Staff Cost per Resident
Daily salary expense per resident
$243/day $261/day Lower
Occupancy Rate
Bed utilization percentage
94% 85% Higher
Est. Daily Rate
Average revenue per patient day
$661/day $608/day Higher
Total Beds
Licensed bed capacity
92 74 Larger

Local comparisons based on 31 skilled nursing facilities in the San Francisco-San Mateo-Redwood City, CA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$20,004,782
Operating Expenses
Total operating costs
$16,581,737
Total Salaries
Staff compensation
$7,144,035
Contract Labor
Agency & temp staff
$701,536

Payer Mix

Medicare
34%
Medicaid
6%
Private Pay & Other
61%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
29,343
Medicare
Short-term skilled nursing
34%
Medicaid
Long-term care residents
6%
Private Pay / Other
Self-pay, insurance, VA
61%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
69.86
days
Medicare Stays
46.20
days
Medicaid Stays
2696.40
days
Total Admissions
420
Total Discharges
420
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SAN FRANCISCO

Join Our Caring Team

We're always looking for compassionate individuals who are dedicated to providing exceptional care for our residents. Explore career opportunities at Central Gardens Post Acute.

Current Job Openings

Central Gardens Post Acute
SAN FRANCISCO, CA
Full Time
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Central Gardens Post Acute
SAN FRANCISCO, CA
Full Time
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Reviews

4.4 (91 reviews)
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P L's profile photo
P L 2 months ago

I've had a mostly positive experience having my mom at Central Garden. If you wanna see my very, really, extremely long comprehensive review because I was bored and have time to waste review I left on Yelp, by all means.

Grace Putulin's profile photo
Grace Putulin 8 months ago

I don't know where to start.. I can't say enough good things about Nora and the care she provided for my grandpa at Central Gardens. From the start, she was incredibly attentive, compassionate, and dedicated to making sure my grandpa received the best support possible. Nora's communication was outstanding - she kept my family and I informed every step of the way, answered all of our questions with patience, and made sure we understood every aspect of his care. She truly went above and beyond to ensure my grandpa's needs were met. Her kindness and professionalism made all the difference during this challenging time. I am so grateful for her support and highly recommend Nora and Central Gardens Post Acute to anyone in need of an exceptional care advocate. Thank you for everything!

GwenOpooh1's profile photo
GwenOpooh1 7 months ago

If you value your family members life, DO NOT take them to this facility. Call lights are a 40-60 min. wait unless your family member works here. Nurses and CNA's often work double shifts. Patients can be heard getting snapped (yelled) at frequently, unless a family member is sitting by their side. Many nurses have an attitude when they have to change a soiled patient. Patients are rushed to use restroom, so they can be charged on a schedule. Often they have to remain in soiled diapers until there's time to squeeze them into the rotation. Patients are told daily by many staff that they don't want to hurt their backs turning the patients. Many staff members don't know proper body mechanics when turning patients. They are short staffed, so if your loved one can't walk to the restroom, it's an ordeal. This is more like a run-down nursing home than a rehabilitation. Many falls occur, but proper protocol isn't followed to assure patients are okay after. Diapers & Chucks are placed at the patients bedside with their room numbers written in sharpie on each item used. Some Nurses try to double diaper a patient to make it faster to change them the next time. Many individuals aren't thoroughly cleaned after being changed. Bed baths are a thing of the past. Patients are often given the wrong medications. Many of the patients can't move around well, if at all, yet their position in bed isn't rotated every 2 hours. It's difficult to get in touch with a doctor if a new condition occurs. IF labs are done, patients are never informed of the results, just given new medications, if at all. There is no follow through for care or concerns. God forbid a patient files a complaint. The complaint is shared with other staff in the hallway and attitudes change and flare (including treatment...bad attitudes, stares of disgust, & rude comments are hurled towards the person who complained. A sick patient with green phlegm wasn't given antibiotics and often sown to have difficulty expelling. Found chocking on phlegm, one staff member told them you're not my patient today, and they kept walking down the hallway. My heart aches for the patients that can't speak, don't have visitors, & we had to leave behind. This review doesn't reflect all staff, but many. One star is the lowest score I can give in order to write a review.

Alexandra Dickerman's profile photo

They didn’t even serve him lunch! My husband is severely handicapped due to several strokes and one day an aide took his milk from his meal tray. Today they didn’t even serve him his lunch, even though his roommate and everyone else was fed. It’s corrupt!

Mark Lillie's profile photo
Mark Lillie 9 months ago

If you value your loved one's health, do not leave them in this facility any longer than you have to as they do very little to rehabilitate and compassion is something they know little about. It's a "People Factory", where patients are looked at like monetary assets. Very little rehabilitation or actual interest in the patient's recovery. They are totally fine with leaving people in soiled diapers, bedridden with no stimulus or attention day after day after day. Your loved one will find it very difficult to thrive in this environment, will eventually give in and give up. All the while, the Medicaid money flows.

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