Laguna Honda Hospital Path to Recertification

Providing quality patient care during the recertification process

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

Despite working with regulators and making improvements, the federal Centers for Medicare and Medicaid Services (CMS) has terminated its Medicare and Medicaid payments to Laguna Honda, which pays for the care for the majority of patients.

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

As part of this process, the city is forced to pursue a parallel path: we must work to recertify the hospital in the programs, and we are required to submit and implement a plan for the transfer of patients and closure of the hospital.

Laguna Honda has a strategy in place to recertify the hospital and work is already underway to achieve this. The hospital remains open and licensed during the recertification process and we will continue to provide quality healthcare to Laguna Honda patients.

Path to Recertification

Keeping Laguna Honda open and recertified are our highest priorities. Every resource is being made available to ensure Laguna Honda is successful.

The recertification process starts with submitting an application. It is followed by regulatory inspections, also known as surveys. After the initial surveys there is a period of time to show we remain compliant. Once the compliance period ends there is a full survey of the hospital. The recertification process will take several months.

We will continue to update the Laguna Honda community as we diligently work toward recertification.

Closure and Patient Transfer and Relocation Plan

Laguna Honda is required by CMS to submit a Closure and Patient Transfer and Relocation Plan. This Plan allows Laguna Honda to continue receiving federal funds to care for patients while the hospital seeks recertification. The full Plan is available for download below:


Learn More - FAQ and Communications

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 Relocation Plan.



Letters to Laguna Honda patients and families 


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 May 26, 2022

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