Laguna Honda Hospital Closure and Patient Transfer and Relocation Plan

Providing quality patient care throughout the Closure and Patient Transfer and Relocation process and the CMS recertification process

Laguna Honda provides safety net healthcare services to approximately 700 of our city’s most vulnerable patients. 

The federal Centers for Medicare and Medicaid Services (CMS) terminated its Medicare and Medicaid payments to Laguna Honda, which pays for care for the majority of patients.

Laguna Honda has an aggressive initiative in place to ensure the hospital continues to receive the vital CMS funding for patient care and is recertified in the programs.

We must work to recertify the hospital, and at the same time, we are required by CMS to implement a Closure and Patient Transfer and Relocation Plan.

Work is already underway to recertify the hospital. Laguna Honda remains open and licensed during the recertification process. Read more about Laguna Honda's Path to Recertification here.

Closure and Patient Transfer and Relocation Plan Process

Patient Assessments, Family Meetings, and Patient Referrals

Laguna Honda must transfer and relocate patients to appropriate settings of care as part of the Closure and Patient Transfer and Relocation Plan. The process involves:

  • Clinical patient assessments: Multi-disciplinary teams work together to ensure safe transfer and discharge. A clinical assessment team includes doctors, nurses, and social workers who discuss the patient’s functional capabilities and health needs.
  • Patient and family meetings: Teams meet with each patient and their families and, where applicable, the patient’s representative to share information about the closure process and gather input for the transfer/discharge decision.
  • Patient referrals: Referring a patient to a new facility is a two-way process: First, find a facility that has room and appropriate levels of care must be found and the facility must agree to the placement. Intensive outreach is conducted to find a facility. Once an appropriate facility is found, detailed information about the patient is shared to ensure that the facility can meet care needs (as defined by the patient’s placement assessment). The new facility must review and screen the assessment to determine whether they will accept the patient. Only then will the referral occur.

Transfer, Relocation, and Discharges
Laguna Honda staff is committed to appropriate transfer and relocation for each patient. Resident care teams complete assessments for level of care, risk for transfer trauma, and discharge options.


Weekly Dashboard

The weekly Closure and Patient Transfer and Relocation Plan data dashboard is below. Week reflects data Monday–Sunday and is updated every Monday at 5 p.m.


Learn More - FAQ

We know the Laguna Honda Hospital community has many questions about Laguna Honda’s participation in the Medicare and Medicaid Provider Participation Programs and the Closure and Patient Transfer and Relocation Plan.


About Laguna Honda Hospital

For more than 150 years, Laguna Honda has been a pillar of San Francisco’s healthcare system, caring for those most in need and providing critical services during pivotal moments in San Francisco’s history, including the 1906 earthquake, the 1918 flu pandemic, the HIV/AIDS epidemic, and the current COVID-19 pandemic. Today, Laguna Honda represents the largest commitment by any city or county to a publicly run skilled nursing facility, serving approximately 700 patients.

Laguna Honda serves as a safety net for patients with complex medical needs who are low or very low income and often have no other options for care. Many patients have complicated chronic medical needs along with behavioral health components (such as diagnosed mental illnesses and/or substance use disorders) and other social or behavior issues. We serve a broad audience in terms of both care and demographics, with more than 25 percent of our population identifying as African American, 18 percent as Latino and 20 percent as Asian.

Laguna Honda is uniquely organized into 13 specialized nursing and rehabilitation programs. These programs draw upon the talents of practitioners in multiple fields to provide a holistic approach to our patient’s health.

Specialized care at Laguna Honda includes a nationally recognized program for memory care for people with Alzheimer’s and other dementias. Laguna Honda also has an award-winning restorative care program that assists residents to retain and reclaim physical competency. Laguna Honda’s Positive Care program is the only HIV/AIDS skilled nursing program in the San Francisco Bay Area serving approximately 60 patients living with HIV/AIDS.

At the same time, the hospital cares for people coping with the effects of complex or chronic conditions such as stroke, traumatic brain injury or degenerative diseases such as multiple sclerosis, and rehabilitative services that include physical therapy, occupational therapy, speech therapy and audiology, with monolingual care in Spanish and Chinese, palliative care and hospice services.

As we look toward the future, the need for Medi-Cal certified hospital-based skilled nursing facility (SNF) beds will only increase and are already limited today. Currently, Laguna Honda’s beds account for 34 percent of all SNF beds available in San Francisco. And, with San Francisco having only approximately 16 SNF beds per 1,000 adults aged 65 and older in 2020, and California’s population projected to increase by 66 percent for those over 60 from 2010 to 2060 as the baby boomer generation ages, we can expect a dramatic impact on the demand for California’s long term care facilities which already exceeds supply.


Last updated June 27, 2022

Departments or Public Bodies