Kaiser Foundation Hosp Home Health - San Francisco
A home health agency in San Francisco, California 94118
4131 Geary Blvd, 4th Floor, San Francisco, California 94118. (415) 833-2770.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 4of 5 quality of patient care rating
- 5of 5 patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Sep 6, 2024: a recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Sep 2024. Most serious: Element-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Sep 6, 2024: recertification inspection2 deficiencies
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Interdisciplinary Assessment Of The Patient
The inspectors’ words, 429 words
“Interdisciplinary assessment of the patient CFR(s): 484.75(b)(1) Ongoing interdisciplinary assessment of the patient; This Element is not met as evidenced by: Based on observation, interview, and record review, the agency failed to obtain, much needed, basic podiatry care for Patient 5, one of 10 sampled patients, when the patients’ toenails, on both feet, were long, jagged, crooked, and yellow and needed cutting. This failure has caused patient discomfort and pain. Patient 5 had a start of care on 3/31/2024 and recertification on 7/29/2024 with diagnoses including hypertensive heart disease with heart failure, chronic ulcers to right and left lower limbs, wound complications, leg infection, and history of falling. Communicates without difficulty. Utilizes walker, cane, or wheelchair, for mobility. During an observation and interview of sponge bath on 9/3/2024 at 3:07 PM, Patient 5’s toenails were very long, jagged, crooked, and yellow. Patients’ fingernails were also very long and needed trimming. Patient 5 stated no one has cut her toenails or her fingernails for months. She stated her toenails hurt on both feet. She stated she has tried to cut her own fingernails but could not do it. Review of Home Health Aide (HHA) services order, two visits per week for 9 weeks, ordered by physician, included personal care, foot care, safety/infection control, fall prevention… Order states, Foot care, “assist patient with foot care.” HHA has viewed feet and toenails twice a week for more than six weeks during bed bath and did not inform nurse or physician. Review of Skilled Nurse services orders, three visits per week for 8 weeks, ordered by physician, included falls injury risk, wound care… Wound care included viewing feet and toenails three times a week for more than 6 weeks. Skilled Nurse did not inform physician. Review of Skilled Nurse notes dated 9/6/2024 indicated, “Skilled Nurse reminded patient’s [family member] to set up podiatry appointment…Informed [family member] that Skilled Nurse can provide a list with podiatry resources that do home visits coming from the Medical Social Worker but this needs to be paid out of pocket…Visit Notes: Assisted patient with medical application, [family member] to submit proof of income, citizenship, and Medicare premium. Patient has hospital bill of $13,000 plus, called hospital and learned that the bill is for copayment for hospitalization… [Family member] to mail with proof of income. Patient refuses to hire help at this time due to low income…” During an interview on 9/5/2024, at 3:45 PM, Director of Nurses (DON) stated patient is unwilling to pay for podiatry services. DON was informed patients’ feet cannot be left untreated for months.”
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Participate In The Hha’S Qapi Program;
The inspectors’ words, 288 words
“Participate in the HHA’s QAPI program; CFR(s): 484.75(b)(8) Participation in the HHA’s QAPI program; and This Element is not met as evidenced by: Based on interview and record review, the agency failed to include a physician in the annual group QAPI (Quality Assurance & Performance Improvement) meetings when review of list of attendees did not include a physician. During an interview on 9/5/2024, at 4:24 PM, the Administrator stated physician signed off on manual, signed 1/23/2024, for the policies and procedures of the meeting but was not present at the 1/9/2024 annual Governance meeting. When questioned about the annual 2023 meeting the Administrator stated physician did not attend the meetings. Review of agency policy on Governing Body, revised 11/30/2022, indicated, “Purpose: To describe the role and responsibilities of the Governing Body of a home health agency … Procedure: 7. The Governing Body will authorize adequate resources and support to establish and maintain a home health agency-wide quality assessment and performance improvement (QAPI) program. Information related to the QAPI program will be provided to the Governing Body on a periodic, but systematic basis. 8. The Governing Body must ensure that the QAPI program: A. Addresses priorities for improved quality of care and patient safety. B. Reflects the complexity of the home health agency and services. C. Involves all home health services, including those under contract or arrangement. D. Focuses on indictors related to improved outcomes. Note: The Governing Body will approve the frequency and detail of quality indicator data collection. The home health agency must assure that its QAPI program utilizes quality indicator data, including measures derived from OASIS (such as hospital admission and readmissions) where applicable and other relevant data, in the design of the QAPI program …””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 6, 2024 | Recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Jul 1, 1972.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Kaiser Foundation Hospitals runs it.
- 23 owners or officers are people: David J Barger (corporate director, 100%); Margaret E Porfido (corporate director, 100%); Richard P Shannon (corporate director, 100%); Regina M Benjamin (corporate director, 100%); Judith A Johansen (corporate director, 100%); David F Hoffmeister (corporate director, 100%); Arnold Eugene Washington (corporate director, 100%); Jeffrey E Epstein (corporate director, 100%); Ramon F Baez (corporate director, 100%); Gregory A Adams (corporate director, 100%); Leslie S Heisz (corporate director, 100%); Jenny Ming (corporate officer); Joeanne Hahn (managing employee (on the payroll)); Roxanne Bellesorte (managing employee (on the payroll)); Christopher L Boyd (corporate officer); Christopher L Boyd (managing employee (on the payroll)); Christopher L Boyd (runs it (operational or managerial control)); Gayatri Khanna (managing employee (under contract)); Ines Gaeta (runs it (operational or managerial control)); Teresa Ramirez (managing employee (on the payroll)); Teresa Ramirez (other role (CMS gives no detail)); Rosemary S Allred (managing employee (on the payroll)); Matthew T Ryan (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Kaiser Foundation Hospitals | Runs it (operational or managerial control) | 100% | Aug 1, 1966 |
How do patients fare?
- CMS rates its quality of patient care 4 of 5.
- Patients rate it 5 of 5 in CMS’s patient survey (393 surveys completed): 88% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 5 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 72.44% (same as the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 11.61% (same as the national rate) |
How does it compare nearby?
- Of the 69 agencies CMS’s data show serving patients in ZIP code 94118, where this agency’s office is, 66 have a quality of patient care rating; the middle one is 4 of 5, and this one is rated 4 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Kaiser Foundation Hosp Home Health - San Francisco This home health agency | 4 |
| Sutter Care at Home | 3 |
| Self-Help Homecare & Hospice | 2.5 |
| Health at Home | 2.5 |
| Health Link Home Health Agency | 4.5 |
| Palmeira Home Health | 4.5 |
| Crossroads Home Health & Hospice | 3 |
| Harmony Home Health | 3 |
| Blc Homehealth Inc. | 4.5 |
| Alliance Home Health | 3.5 |
| South Bay Home Health Care, LLC | 4 |
| Home Health Bay Area Inc. | 4.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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