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Laguna Honda prepares for recertification amid staffing challenges and federal scrutiny

July 18, 2023 | San Francisco City, San Francisco County, California


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Laguna Honda prepares for recertification amid staffing challenges and federal scrutiny
The City of San Francisco held a government meeting on July 4, 2025, focusing on the ongoing efforts for the recertification of Laguna Honda, a nursing facility that has faced significant challenges in meeting federal standards. The meeting began with an update from acting CEO Mister Pickens, who reported on the recruitment of candidates to fill key leadership positions essential for the facility's recovery.

Pickens emphasized the urgency of hiring qualified personnel to address deficiencies identified in previous evaluations, particularly in disaster preparedness. He noted that the facility is committed to aligning with top-performing nursing facilities and fulfilling recommendations from consulting firms aimed at improving operations.

The timeline for recertification remains a critical topic, with the facility aiming to submit its application by the end of summer. Pickens outlined that the facility has made substantial progress since the last survey, reducing the number of compliance deficiencies from 126 to 33. However, he acknowledged that some issues, particularly related to individualized care plans, still need to be addressed.

Public comments during the meeting raised concerns about the potential impact of a state-led closure plan, which could lead to the eviction of over 500 residents if recertification efforts fail. Community members expressed fears that such actions could jeopardize the well-being of residents, as many believe Laguna Honda provides superior care compared to other facilities.

Commissioner Chao sought clarification on the differences between the surveys and the implications of the closure plan. Pickens confirmed that while the state is developing a closure plan without direct input from Laguna Honda, the facility is focused on demonstrating progress to avoid such drastic measures.

The meeting concluded with a commitment to continue working towards recertification and addressing the concerns raised by the community. The next steps involve awaiting approval from the Centers for Medicare & Medicaid Services (CMS) on the submitted action plan, which is crucial for maintaining the facility's operational status and ensuring the safety of its residents.

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