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Supervisors, advocates call for action as San Francisco loses residential care beds and Swindells faces closure
Summary
A committee hearing on senior institutional housing highlighted data showing a shrinking RCFE bed supply, widespread public testimony about the planned Swindells closure, and calls from supervisors and advocates for coordinated city, hospital and mayoral action to preserve dementia and long‑term care capacity.
The Public Safety & Neighborhood Services Committee spent much of its Dec. 7 meeting on a citywide shortage of residential care facilities for the elderly (RCFEs) and other long‑term care options.
Supervisor Yee opened the hearing with demographics and capacity figures, saying San Francisco had roughly 29 RCFE beds for every 1,000 residents aged 65+, compared with about 48 beds per 1,000 in neighboring counties. “Housing is a health care issue,” he said, linking bed shortages to hospital discharges and rising costs for seniors on fixed incomes.
Departmental presenters outlined the system and possible interventions. Sneha Patel of the Department of Public Health explained long‑term care…
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