During a recent government meeting in San Francisco, a pressing issue regarding the lack of subacute skilled nursing facilities in the city was brought to light. The discussion highlighted the significant gap in care for patients requiring specialized medical attention, particularly those who are ventilator-dependent and need intensive monitoring.

A speaker expressed outrage over the fact that San Francisco has not had a subacute skilled nursing facility admitting new patients since 2017. This situation has forced many critically ill patients to seek care far from their families and support systems, which can exacerbate their health challenges. The speaker pointed out that of the 17 patients transferred from St. Luke's to Davies in 2018, only four are still alive, raising serious concerns about the quality of care and the impact of transfer trauma on vulnerable patients.

The speaker emphasized the need for robust oversight and adequate staffing at facilities like Chinese Hospital, where subacute care is provided. Unlike regular skilled nursing care, subacute care requires a higher level of attention and specialized training, including the presence of respiratory therapists and registered nurses. The speaker's comments underscored the critical nature of having well-trained staff to manage the complexities of care for these patients, as any lapse could lead to dire consequences, including the need for intensive care unit (ICU) admission.

This discussion reflects broader concerns about healthcare accessibility and quality in San Francisco, particularly for those with severe medical needs. As the city grapples with these challenges, the call for improved facilities and oversight is likely to resonate with community members and healthcare advocates alike. The meeting concluded with a recognition of the urgent need to address these issues to ensure that all residents have access to the specialized care they require.