About Laguna Honda Hospital

Laguna Honda is a skilled nursing and rehabilitation center owned and operated by the San Francisco Department of Public Health located on a 62-acre campus in the heart of the city. 

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.  

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. To read our 2021-2022 Annual Report, click here.


Mission Vision and Community Values


  • We provide a welcoming, therapeutic and healing environment that promotes the individual’s health and well-being.   


  • Building healthier lives as the leader in post-acute care.   


  • Resident Centered Care  
  • Compassion  
  • Professionalism  
  • Competency  
  • Teamwork  
  • Collaboration  
  • Integrity  
  • Communication 

Our History and Our Building