Assisted Living
Sutro Heights
659 45th Street, San Francisco, CA 94121 · Map
Licensed for 14 residents · SUTRO HEIGHTS CORPORATION
Sutro Heights is a state-licensed assisted living community in San Francisco, California. It is licensed for 14 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 14 residents
RESIDENTIAL CARE ELDERLY 385601097, licensed since Mar 23, 2021. Licensee SUTRO HEIGHTS CORPORATION.
Nearest emergency room
0.7 miles
Kaiser Foundation Hospital - South San Francisco, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Sutro Heights this community | 14 | Not published | Active | 17 Type A, 24 Type B | |
| Uplyft Assisted Care | 0.0 mi | 14 | Not published | Active | 0 Type A, 0 Type B |
| Quality Care Homes 2 | 0.1 mi | 6 | Not published | Active | 3 Type A, 2 Type B |
| Damenik's Home | 1.0 mi | 12 | Not published | Active | 2 Type A, 4 Type B |
| Sunset Care Home 2 | 1.1 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
State inspection record17 Type A, 24 Type B
- Last state visit
- May 20, 2026
- State visits since December 27, 2021
- 16 (including 4 inspections, 11 complaints investigated)
- Type A citations
- 17 immediate risk
- Type B citations
- 24 potential risk if not corrected
- Complaint allegations investigated
- 51: 27 substantiated, 24 not substantiated
- License active since 2021
Citations (41), newest first
- 87464(f)(1) (plan of correction due April 2, 2026): Basic Services. Basic services must include care and supervision.
- 87608(a)(5)(B) (plan of correction due March 18, 2026): Postural Supports. The community must help residents with daily activities they cannot do themselves, and may use postural supports only under set conditions.
- 87463(a) (plan of correction due March 13, 2025): Reappraisals. The resident's needs appraisal must be updated in writing when their condition changes significantly, and at least once every 12 months.
- 87309(a) (plan of correction due March 6, 2025): Storage Space and Access. Cleaning products, poisons, knives, matches, tools and other dangerous items must be kept in locked storage and not left unattended.
- 87303(a) (plan of correction due August 8, 2024): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
Show all 8
- 1569.69 (plan of correction due August 8, 2024): Medication Assistance Training. Training requirements for staff who help residents take their medications.
- 87465(a)(4) (plan of correction due July 26, 2024): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87465(a)(4) (plan of correction due July 26, 2024): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
Show all citations (33 more)
- 87506(a) (plan of correction due July 26, 2024): Resident Records. The community must keep a separate, complete and current record for each resident.
- 87355 (plan of correction due July 26, 2024): Criminal Record Clearance. Rules for fingerprinting and criminal background clearance of the licensee, staff, volunteers and others in the community.
- 87303(a) (plan of correction due April 16, 2024): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
- 87303(a) (plan of correction due April 16, 2024): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
- 87203 (plan of correction due October 3, 2023): Fire Safety. The community must meet the State Fire Marshal's fire safety rules.
Show all 33
- 87307(d)(6) (plan of correction due October 3, 2023): Personal Accommodations and Services. Rules for living space and safety, including common rooms, bedrooms, bathrooms, hazards and resident supervision.
- 87307(c) (plan of correction due September 20, 2023): Personal Accommodations and Services. Rules for living space and safety, including common rooms, bedrooms, bathrooms, hazards and resident supervision.
- 87465 (plan of correction due September 20, 2023): Incidental Medical and Dental Care Services. Rules for helping residents with medicines and other incidental medical and dental care.
- 87303(i)(1) (plan of correction due September 14, 2023): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
- 87204(a)(b) (plan of correction due September 14, 2023): Limitations - Capacity and Ambulatory Status. The community may not serve more residents than its license allows, except temporarily in a catastrophic emergency.
- 87468.1(a)(2) (plan of correction due July 14, 2023): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87468.1(a)(2) (plan of correction due July 14, 2023): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87411(a) (plan of correction due July 14, 2023): Personnel Requirements - General. The community must have enough competent staff at all times to meet residents' needs.
- 87217(b) (plan of correction due July 14, 2023): Safeguards for Resident Cash, Personal Property, and Valuables. The community must protect residents' money and valuables in its care and give receipts for them.
- 87468.2(a)(19) (plan of correction due July 14, 2023): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87506(a) (plan of correction due July 14, 2023): Resident Records. The community must keep a separate, complete and current record for each resident.
- 87464(d) (plan of correction due July 14, 2023): Basic Services. The basic services every community must provide, starting with care and supervision, and its duty to meet the needs of each resident it accepts.
- 87468.2(a)(5) (plan of correction due July 14, 2023): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87465(h)(2) (plan of correction due July 7, 2023): Incidental Medical and Dental Care Services. Centrally stored medicines must be locked up, kept in their original labeled containers, and tracked in a written record.
- 87468.2(a)(5) (plan of correction due April 27, 2023): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87464(d) (plan of correction due April 21, 2023): Basic Services. The basic services every community must provide, starting with care and supervision, and its duty to meet the needs of each resident it accepts.
- 87468.19a)(2) (plan of correction due April 21, 2023): Plain meaning not available; see the state’s report.
- 87303(a) (plan of correction due February 9, 2023): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
- 87507(e) (plan of correction due November 3, 2022): Admission Agreements. Rules for written admission agreements: what they must include, what they cannot include, signing and giving copies.
- 87468.2(a)(1) (plan of correction due November 3, 2022): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87506(a)(b)(15) (plan of correction due November 3, 2022): Resident Records. The community must keep a separate, complete and current record for each resident.
- 87463(a) (plan of correction due November 3, 2022): Reappraisals. Rules for updating each resident's needs appraisal at least once a year or when their condition changes, and acting on those changes.
- 87608(a)(3) (plan of correction due November 3, 2022): Postural Supports. The community must help residents with daily activities they cannot do themselves, and may use postural supports only under set conditions.
- 87457(c)(3) (plan of correction due November 3, 2022): Pre-Admission Appraisal. Requirements for interviewing a prospective resident and appraising their needs before admission.
- 1569.652(c) (plan of correction due October 27, 2022): Ending the Agreement After a Resident's Death. Rules for ending an admission agreement after a resident dies, including removing belongings and refunding prepaid fees.
- 87413(a)(2) (plan of correction due October 24, 2022): Personnel - Operations. Rules for covering staff absences, providing care without abuse or exploitation, and posting staff schedules in larger communities.
- 1569.80(a) (plan of correction due October 24, 2022): Plain meaning not available; see the state’s report.
- 87468.1 (plan of correction due January 10, 2022): Personal Rights of Residents in All Facilities. Personal rights every resident has, such as dignity, safe accommodations and freedom from abuse, plus protection from discrimination based on sexual orientation, gender identity or HIV status.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with substantiated allegations (date the finding was approved)
- September 4, 2024: 2 substantiated, 6 unsubstantiated, 1 unfounded, 1 Type B citation
- August 21, 2024: 3 substantiated, 4 unsubstantiated, 2 Type A citations
- August 21, 2024: 1 substantiated, 1 unfounded, 1 Type A citation
- July 10, 2023: 12 substantiated, 2 unsubstantiated, 3 unfounded, 1 Type A citation, 8 Type B citations
- May 2, 2023: 3 substantiated, 1 unsubstantiated, 2 Type A citations, 1 Type B citation
Show all 8
- November 2, 2022: 2 substantiated, 3 unsubstantiated, 1 Type A citation, 1 Type B citation
- October 31, 2022: 3 substantiated, 2 Type B citations
- January 6, 2022: 1 substantiated, 1 Type B citation
Complaints with no substantiated allegation (3)
- June 8, 2026: 1 unsubstantiated
- February 22, 2023: 1 unsubstantiated
- February 22, 2023: 1 unsubstantiated
Every state visit (31)
- May 20, 2026: Complaint visit
- April 1, 2026: Other visit
- March 17, 2026: Inspection
- March 6, 2025: Inspection
- July 25, 2024: Other visit
Show all 19
- July 25, 2024: Complaint visit (5)
- July 18, 2024: Complaint visit (2)
- May 10, 2024: Other visit
- April 2, 2024: Other visit
- March 21, 2024: Inspection
- October 2, 2023: Other visit
- September 13, 2023: Other visit
- July 5, 2023: Complaint visit (3)
- April 20, 2023: Complaint visit (2)
- February 8, 2023: Inspection
- February 8, 2023: Complaint visit (2)
- October 20, 2022: Other visit (2)
- October 20, 2022: Complaint visit (3)
- December 27, 2021: Complaint visit
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 14 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee SUTRO HEIGHTS CORPORATION
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 385601097
- License status
- Active
- Licensed since
- 2021-03-23
- Licensed capacity
- 14
- Licensee
- SUTRO HEIGHTS CORPORATION
- County
- San Francisco County
- Administrator
- Juliet Pacaldo
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the California licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in California, and other programs
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 0.7 mi, nursing home 2.3 mi, pharmacy 0.8 mi
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital - South San Francisco, South San Francisco. 0.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- The Avenues Transitional Care Center, San Francisco. 2.3 miles away, straight line.
- Nearest home health agency office
- Kaiser Foundation Hosp Home Health - San Francisco, San Francisco. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94121 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc San Francisco Geary, San Francisco, 2.6 miles away, straight line (CMS rating 5 of 5 stars)
Davita Golden Gate Dialysis, San Francisco, 3.2 miles away, straight line (CMS rating 4 of 5 stars)
Uc Chronic Dialysis/Mt. Zion, San Francisco, 3.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 26 Medicare hospices tell CMS they serve ZIP code 94121.
Kaiser Foundation Hospital Hospice-San Francisco, office in San Francisco, 2.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Crossroads Home Health & Hospice, office in San Francisco, 3.0 miles away, straight line
Sutter Care At Home, office in San Francisco, 4.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Regents Of The University Of California, San Francisco. 3.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Sutro Heights provide?
Sutro Heights is licensed by the state of California for assisted living in San Francisco, California. Its licensed capacity is 14 residents.
Does Lilisity rate Sutro Heights?
No. We publish state licensing details for Sutro Heights but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Sutro Heights cost?
Assisted Living in California typically starts at $3,800 to $6,100 a month. Based on 267 communities that publish prices. These are area figures, not this community's price. Sutro Heights does not publish its prices.
How do I contact Sutro Heights?
Use Sutro Heights's website, parksconservancy.org/visit/park-sites/sutro-historic-district.html, or visit at 659 45th Street, San Francisco, CA 94121.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid