I placed my loved one here and couldn't be happier. The Art Deco building in a quiet, lovely San Francisco neighborhood has sunny, floor-to-ceiling windows, stunning city views, a beautiful garden and warm, homey common rooms. Executive Director David, activity director Susie (22 years), and the caregivers are compassionate, responsive and made the transition easy - residents are social, active (Bingo, music, daily exercise) and well cared for. It's an older facility that could use some updates and has no on-site nursing, but the attentive staff, delicious meals and strong sense of community make this a place I highly recommend.
Buena Vista Manor House stands as a mid-rise building surrounded by lush gardens and greenery, offering a calming place for seniors to call home, where you'll find private furnished suites with their own bathrooms, available for lease each month, and they do have shared studios and one-bedroom suites as well, which makes it easy for people to choose what fits them best. This place has a trusted record of serving seniors for over 30 years, with a qualified care team that offers 24-hour help for all sorts of needs, from daily living to medication management, and they have both nurse and companion services, providing a secure, stress-free environment that lets residents feel independent without worrying about home maintenance or chores, since the staff handles everything from linen and maid service to laundry each day. The care levels here include assisted living, memory care for elders with Alzheimer's or other memory loss, standard nursing care, independent living, and this is all wrapped up as what they call a Continuing Care Retirement Community, so people do get to stay even if their health needs change over time. Their amenities make daily life smoother, with a chef preparing nutritionally balanced meals, animal therapy with pets allowed under their pet-friendly policy, a library for reading, a parlor for relaxing, and garden patios where folks can walk or simply enjoy the peace and fresh air. Residents have many choices for activities, hobbies, and classes run by a full-time activities director, recreational therapists to help keep up independence, and there's medicine and daily transportation assistance if needed. For those needing memory care, they ensure safety and close support, with staff trained to help with the unique challenges of dementia and similar problems. Buena Vista Manor House lets seniors enjoy companionship, meaningful activities, animal visits, and peaceful gardens, while experienced caregivers see to both their comfort and safety, so residents can focus on enjoying the later years of life. There are some special terms to their services, and they do offer some features like connecting with Facebook, though those don't work in all web browsers, but the main thing is they aim to give residents a gracious, welcoming place to live with real support at every stage.
People often ask...
Buena Vista Manor House offers competitive pricing, with rates starting at a cost of $5,100 per month.
Buena Vista Manor House offers assisted living and memory care.
There are 24 photos of Buena Vista Manor House on Mirador.
The full address for this community is 399 Buena Vista Ave E, San Francisco, CA, 94117.
Yes, Buena Vista Manor House offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
76
Inspections
18
Type A Citations
1
Type B Citations
6
Years of reports
09 Jul 2025
09 Jul 2025
Found the allegation of lack of supervision resulting in R1’s fall not proven, since R1 previously ambulated with a walker and was later prescribed a wheelchair for fall prevention, with observed staffing on each floor. Observed photo evidence showed no clear signs of distress or a fall by R1.
09 Jul 2025
09 Jul 2025
Found that a resident who recently moved in eloped on 7/6/2025, was located and returned within hours. Observed ongoing supervision by staff and a private caregiver in common areas to support the resident's transition.
25 Oct 2024
25 Oct 2024
Found a clean, well-maintained care center with safe conditions, functioning safety systems, and a sufficient food supply; residents were engaged and staff interactions were positive. No deficiencies were cited.
20 Jun 2023
20 Jun 2023
Found staff training in observation of residents, personal rights, reporting requirements, infectious diseases, and prevention/care to be sufficient. Also found posted COVID-19 signs, a clean and tidy environment, available hand sanitizing stations, adequate PPE, and proper temperatures, with no deficiencies cited.
20 Jun 2023
20 Jun 2023
Completed unannounced visit to facility, no deficiencies found. Staff training records reviewed and found sufficient. Facility well-maintained with proper COVID-19 protocols in place.
§ 9058
15 Feb 2023
15 Feb 2023
Found no deficiencies today related to infection control. Observed COVID-19 precautions in place at this location, with posted signs, mask use, social distancing, hand-sanitizing stations, and reviewed infection-control training and daily screening records.
15 Feb 2023
15 Feb 2023
Conducted an inspection and found no deficiencies in infection control measures at the facility. Residents were observed following COVID-19 protocols and proper sanitation practices were in place.
21 Dec 2022
21 Dec 2022
Found thorough infection-control measures in place at the site, including daily screenings for residents and staff, monthly PPE training, and ample supplies. Observed residents wearing masks, proper distancing in seating areas, posted signage, accessible hand-sanitizer stations, and secure medication storage; no deficiencies cited.
21 Dec 2022
21 Dec 2022
Conducted an annual inspection, found no deficiencies, and provided a copy of the report to the facility.
24 May 2022
24 May 2022
Found COVID-19 precautions in place across the site, including posted signs, hand sanitizing stations, distancing in dining and activity areas, and water fountains taped off; 3rd-floor Red Zone with PPE stations and a dedicated PPE supply room; infection control training and daily COVID-19 screening records were reviewed; no deficiencies cited.
24 May 2022
24 May 2022
Reviewed report identified no deficiencies during inspection.
28 Apr 2022
28 Apr 2022
Identified the allegation that medication logs and PRN documentation were not adequately maintained, with numerous PRN entries in the electronic records not entered or initialed by staff who administered the medication.
§ 87506(a)
29 Mar 2022
29 Mar 2022
Investigated allegations that staff were not adequately trained and that medications were not administered according to physician orders. Found no evidence to support these allegations.
28 Apr 2022
28 Apr 2022
Confirmed deficiencies in medication documentation, including PRN entries not properly logged by staff.
29 Mar 2022
29 Mar 2022
Confirmed staff were adequately trained on medication assistance and medication administration was in accordance with physician's orders, with no evidence of medications being prepared in advance or residents being given the wrong medications.
30 Dec 2021
30 Dec 2021
Found infection-control measures in place, including entrance signs, hand sanitizer stations, screening logs, and PPE stations around an isolation area; reviewed medication-management documentation; no deficiencies identified.
30 Dec 2021
30 Dec 2021
Confirmed no deficiencies during inspection.
06 Oct 2021
06 Oct 2021
Found comprehensive COVID-19 precautions in place, including twice-daily resident screenings, staff screenings on entry and exit, assigned PPE for the COVID-19 unit, sanitation logs, and posted signage; no deficiencies cited.
06 Oct 2021
06 Oct 2021
Reviewed on-site observations and records, noting established COVID-19 precautions, PPE storage, six-foot seating, cleaning schedules, isolation areas, and signage. Training records showed ongoing staff training and resident assessments, with agreement to begin the required training in the second year of probation.
06 Oct 2021
06 Oct 2021
Confirmed compliance with COVID-19 safety protocols and staff training requirements during an inspection visit.
07 Jul 2021
07 Jul 2021
Reviewed Stipulation details during a tele-visit, answered questions about training, and confirmed trainer approval; all participants understood the stipulation. Confirmed that the transparency site reflects probationary status and that no deficiencies were cited.
07 Jul 2021
07 Jul 2021
Confirmed no deficiencies during the visit.
24 May 2021
24 May 2021
Found that on May 24, 2021, during an unannounced case management visit, staff wore PPE and residents wore masks; no deficiencies were observed.
24 May 2021
24 May 2021
Observed staff and residents wearing PPE throughout the facility with no deficiencies noted during the visit.
02 Dec 2020
02 Dec 2020
Found no deficiencies observed during the tele-visit; noted ongoing staff mass testing, masking, social distancing, and active resident activity with no symptoms reported.
10 Nov 2020
10 Nov 2020
Found no concerns during an unannounced tele-visit, with adherence to COVID-area guidance observed in the monitored spaces and a laminated mitigation plan posted at each end of the hallway; staff were seen donning and doffing PPE correctly. Found ongoing PPE readiness with fit testing and universal-size N95s, 25% weekly surveillance testing with no positives, and a census of 49 residents.
13 Nov 2020
13 Nov 2020
Identified during an announced case management visit that infection-control practices were followed in the COVID area and residents were engaged in activities; laminated hand-washing signs in English and Spanish were added. Observed a power outage with emergency lighting and fire doors functioning; two new administrators started about two weeks prior; no hospice residents and all residents were doing well; staffing and PPE were not concerns; ongoing surveillance testing of 25% of staff and residents weekly showed no positives; census stood at 49; regional office received the inventory list, burn calculator, training logs, and virtual visits.
25 Nov 2020
25 Nov 2020
Found no deficiencies during the tele-visit; observed clean areas, stocked PPE, essential-worker access only, with outdoor visits in place and communal activities anticipated soon.
09 Dec 2020
09 Dec 2020
Found no active COVID-19 cases or symptoms among residents or staff; census was 49 with one resident on hospice (stable). Reported that surveillance testing completed with no positives, and no deficiencies were observed.
17 Dec 2020
17 Dec 2020
Found no deficiencies during the tele-visit; observed proper signage, hand-sanitizing stations, and staff wearing masks, with a tour of the front patio, entrance screening, dining and staff areas, gowning area, elevator, and a COVID wing where practices matched the plan. Current census was 48, with one resident on hospice and one recently sent to hospital after a fall; no active COVID-19 cases among residents or staff.
04 Nov 2020
04 Nov 2020
Found no deficiencies; observed readiness in the COVID area with PPE supply closet, STOP signs on resident room doors, PPE stations, handwashing stations, wall-mounted towels, break areas stocked with disinfectant wipes, and a newly installed plastic barrier. N95 mask inventory totaled 210, with 180 assigned and 30 readily available.
17 Dec 2020
17 Dec 2020
Found no deficiencies during the visit, all COVID-19 safety measures were in place and staff were compliant with procedures.
09 Dec 2020
09 Dec 2020
Visited assisted living facility, observed no deficiencies or concerns. Staff following COVID-19 safety protocols, including proper PPE use and testing procedures.
02 Dec 2020
02 Dec 2020
Conducted an inspection, observed all residents and staff wearing masks, no deficiencies noted, COVID testing ongoing.
25 Nov 2020
25 Nov 2020
Confirmed no deficiencies during the visit regarding COVID-19 protocols and resident well-being.
20 Nov 2020
20 Nov 2020
Found that only essential workers were admitted, and that communal dining and group activities would begin next week; no deficiencies were observed and staffing updates were provided.
20 Nov 2020
20 Nov 2020
Found no deficiencies during the inspection and plans for communal dining and group activities are set to resume soon. Staffing schedules are being provided weekly for monitoring.
13 Nov 2020
13 Nov 2020
Observed COVID protocols being followed, residents engaged in activities, kitchen staff washing hands as requested, and no positive cases reported in weekly testing.
10 Nov 2020
10 Nov 2020
Conducted an unannounced case management visit via Microsoft Team. Observations were made in various areas of the facility, including the designated COVID positive area, resident bedrooms, and restrooms. No concerns were noted, and the facility was found to be compliant with safety guidelines and protocols.
06 Nov 2020
06 Nov 2020
Found no deficiencies during the tele-visit; observed proper PPE, clean areas, and residents who were well-groomed and engaged.
06 Nov 2020
06 Nov 2020
Observed resident areas, COVID precautions, cleanliness, and staff training during visit. No deficiencies noted.
04 Nov 2020
04 Nov 2020
Observed COVID-19 safety measures and provided recommendations for improvement. Non-regulated complaint allegations not substantiated.
02 Nov 2020
02 Nov 2020
Found no deficiencies after a tele-visit that included a tour of the COVID area and observations of PPE donning and doffing, with PPE supplies, signage, and related equipment in place.
02 Nov 2020
02 Nov 2020
Visited facility to review infection control protocols and observed no deficiencies during the visit. A follow-up is scheduled for the next technical assistance session.
28 Oct 2020
28 Oct 2020
Found residents safe and well cared for, with a comfortable temperature, five staff on duty, and no health or safety concerns identified. Noted stop signs inside COVID rooms to request help, call systems in each room connected to the front office, adequate food supplies, current fire safety equipment, and surveillance testing completed for 10 residents with no results yet.
28 Oct 2020
28 Oct 2020
Inspection found no health or safety concerns, residents well cared for, and facility in compliance with regulations.
26 Oct 2020
26 Oct 2020
Found that staff COVID-19 testing was completed with results pending and residents were scheduled for testing; a mobile PPE cart and isolation reminders were in place, and staff demonstrated proper donning and doffing. Observed secure medication storage, restricted entry to essential personnel, and ongoing telehealth check-ins; no deficiencies identified.
23 Oct 2020
23 Oct 2020
Found staff properly donned and doffed PPE, with signage posted throughout this location. Entry was limited to essential personnel and communal dining and group activities were paused pending health department review, with ongoing tele-visit follow-ups.
21 Oct 2020
21 Oct 2020
Found PPE donning and doffing were performed correctly, hand sanitizer and signage were in place; no deficiencies observed, testing at 25% with no positive residents, essential workers only admitted, and communal activities paused pending health department review, with N95s, gowns, and gloves available.
26 Oct 2020
26 Oct 2020
Confirmed no deficiencies observed during visit. Recommendations provided for improvement.
23 Oct 2020
23 Oct 2020
Confirmed positive use of Personal Protection Equipment (PPE) procedures and implemented safety measures observed during visit. Recommendations provided for further improvement.
21 Oct 2020
21 Oct 2020
Confirmed staff demonstrated correct PPE procedures during the visit and had appropriate supplies available.
20 Oct 2020
20 Oct 2020
Identified ongoing discussions on COVID-19 containment and staff training, with tele-visits to continue.
Observed no deficiencies.
20 Oct 2020
20 Oct 2020
Confirmed positive COVID-19 cases, revisions to mitigation plan recommended, training logs and donning/doffing procedures to be implemented, surveillance testing ongoing, and tele-visits scheduled for monitoring.
19 Oct 2020
19 Oct 2020
Identified deficiencies in donning and doffing PPE training, including incorrect mask strap placement and gown removal, along with missing signage and hand sanitizer in the demonstration area; a progress-review meeting was scheduled for Oct 20.
§ 87411
§ 87212
19 Oct 2020
19 Oct 2020
Identified deficiencies in staff PPE training and lack of necessary supplies for emergency preparedness. Meeting scheduled to address progress and mitigation plan.
16 Oct 2020
16 Oct 2020
Found no deficiencies cited today. Observed staff demonstrating CDC-compliant PPE donning and doffing, posted handwashing signage, hand sanitizer in Covid+ rooms, and foot-operated trash cans, with PPE training logs provided by the administrator.
16 Oct 2020
16 Oct 2020
Confirmed compliance with CDC recommendations regarding PPE procedures, hand washing signage, hand sanitizer, and trash disposal.
13 Oct 2020
13 Oct 2020
Found that all four on-duty caregivers demonstrated PPE donning and doffing, but additional training on the process was needed, and they were advised to review CDC donning and doffing guidance. No deficiencies were cited.
13 Oct 2020
13 Oct 2020
Donning and doffing procedures for PPE were demonstrated by caretakers during the inspection, with additional training still needed. No deficiencies were found.
12 Oct 2020
12 Oct 2020
Observed temperature screening logs signed by EMT and Public Health nurse, PPE use with donning and doffing, and hand-washing signs; foot-operated trash bins on the 3rd floor and in the hallway, an evacuation chair in the stairwell, and a new Infection Preventionist on staff. Reported census at 49 as of 10/12/20; surveillance testing occurred on 10/9 with results pending, 20 foot-operated bins on the 3rd floor with more on order, walls near PPE hang cleaned between shifts; no deficiencies cited.
12 Oct 2020
12 Oct 2020
Confirmed compliance with infection control protocols during a tele-inspection, including proper screening procedures, PPE usage, and environmental cleanliness.
10 Oct 2020
10 Oct 2020
Identified no deficiencies and noted ongoing infection prevention measures. Census increased as residents returned from rehab, mass testing occurred with results pending, and no Covid cases were reported among staff or residents.
10 Oct 2020
10 Oct 2020
Confirmed compliance with infection prevention protocols and satisfactory staff procedures during a recent visit.
09 Oct 2020
09 Oct 2020
Found staff wearing proper PPE and visitors screened at entry, with two PPE stations on each floor and reminders about PPE posted on each resident door; PPE was checked hourly.
09 Oct 2020
09 Oct 2020
Observed proper PPE usage by staff and implementation of PPE protocols throughout the facility during a recent inspection.
29 Sept 2020
29 Sept 2020
Found that a resident with a catheter was refused readmission after a hospital visit based on the administrator’s belief that higher care was needed, instead of an appropriate medical assessment. Found that eviction procedures were not followed, decisions rested on the administrator’s personal assessment, and there was no record that an exception for catheter care was requested or issued between admission and the hospital visit, with the administrator lacking knowledge of care requirements and applicable laws.
§ 87405
§ 87623
29 Sept 2020
29 Sept 2020
Found illegal eviction of a resident after hospital treatment when the administrator refused readmission due to higher care needs, despite an approved home health plan. Determined that this action violated the resident's rights by denying readmission and leaving the resident without necessary care.
29 Sept 2020
29 Sept 2020
Found that the administrator refused to readmit a resident after a hospital visit due to a personal belief about care needs without following proper eviction procedures or obtaining a necessary care exception.
§ 87224(a)(4)
15 Sept 2020
15 Sept 2020
Identified that six staff logged the time of day instead of recording their temperatures, and that a thermometer showed a low battery even after new batteries were installed. Found no evacuation chair and an emergency plan not specific to each section, with CDSS employees listed as additional staffing sources.
§ 1569.695
§ 87405
§ 87465
§ 87405
15 Sept 2020
15 Sept 2020
Identified deficiencies related to Covid-19 practices and emergency preparedness during an inspection on September 8, 2020.
14 Sept 2020
14 Sept 2020
Identified safety and compliance concerns, including an elevator in need of maintenance with a loud squeal during use, and updated floor plans and the emergency planning not posted. Noted improper PPE use by staff, concerns about diaper disposal for incontinent residents, and inconsistent reporting of COVID-19 cases and deaths due to administrator absence.
§ 87625(b)(2)
§ 87303(a)
§ 87212(a)
§ 87411(a)
§ 87211(a)(2)
14 Sept 2020
14 Sept 2020
Identified a mismatch between the original licensing sketch and the current layout, noting that the ground level now includes a laundry, salon, and break room instead of open space, with a new fire clearance requested.
Found residents were left unattended and unable to exit, with some locking themselves in, and Covid-19 reporting information was inconsistent due to the administrator's limited on-site presence.
§ 80022(a)(b)
§ 87405
§ 80072(a)(7)
14 Sept 2020
14 Sept 2020
Confirmed allegations of elevator maintenance issues, missing emergency disaster plan, improper use of PPEs, and failure to report COVID-19 cases and deaths at the facility.
12 Feb 2020
12 Feb 2020
Confirmed purpose of visit during complaint follow up, conducted interviews with staff and residents. Reviewed and discussed findings with Administrator.
13 Nov 2019
13 Nov 2019
Determined that the allegation regarding discharge to a public guardian was unsubstantiated, as there wasn't sufficient evidence to conclude the alleged violations occurred or did not occur.
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