I chose this community for a loved one and overall I'm very pleased: the staff are professional, kind and knowledgeable (they handle Hoyer lifts, prevent bed sores and provide 24-hour, proactive care). The building is bright and recently refreshed, with a beautiful garden, sunny dining room and chef-prepared meals that meet dietary needs. Residents are engaged-daily social, mental and physical activities, music and events keep people happy and connected. It isn't perfect (occasional understaffing, some dated rooms and pricing/management issues), but on balance I would recommend it for compassionate, safe senior care.
Consistently praised, caring and well-trained staff
Family-like, warm and attentive caregiving culture
Quick response to call buttons (often 5–10 minutes)
Proactive and frequent communication from some staff/administration
Clean, well-maintained common areas and rooms (frequently noted)
Remodeled/attractive interiors and modern furniture
Large, bright rooms and well-lit hallways in many units
Extensive, well-kept garden courtyard and outdoor spaces
Lively community with a strong sense of belonging
Wide, varied, and engaging activities program
Special events, musical entertainment, intergenerational programs
Chef-prepared, nutritious meals with dietary accommodations
Open visiting times and family-friendly holiday events
24/7 monitoring and experience handling higher-care needs (e.g., Hoyer lift)
Convenient central San Francisco location near medical centers and shopping
Memory care unit available and praised in many accounts
Smooth move-in/intake process reported by many families
Staff know residents by name and provide personalized attention
Smaller, intimate community size appreciated by many reviewers
Several named staff and leaders cited positively (examples: Jennine, Michael, Laura, Chef Jose, Fili, Peter)
Cons
Reports of inconsistent follow-up on concerns and variable responsiveness
Occasional understaffing and high staff turnover noted
Some front-desk coverage gaps (desk sometimes vacant)
Food temperature issues and limited meal-option complaints
Restrictive medication/delivery policies (e.g., Tylenol requiring doctor order)
Therapy services sometimes not delivered as expected
Poor TV reception reported in some common areas
Construction, renovations, and ongoing work creating disruption
Some private rooms small or equipped like hospital rooms (twin hospital beds)
A few reviews describe a hospital-like atmosphere in parts of the community
Pricing increases and billing/availability concerns reported
A small number of serious allegations (misrepresentation, room re-sold, operational failures)
Mixed cleanliness/maintenance reports—some say dated areas need refurbishment
Inconsistent management quality across time; operations said to have deteriorated by some reviewers
Limited space for activities in a few parts of the facility
Summary review
Overall sentiment: The reviews for Sagebrook Senior Living are predominantly positive, with recurring praise for the staff, engaging community, attractive outdoor spaces, and chef-driven dining. Many reviewers describe a warm, family-like environment in which caregivers are attentive, knowledgeable, and genuinely caring. Positive experiences are frequent enough that many reviews include direct recommendations and expressions of relief from family members who felt their loved ones were safe and well cared for.
Care quality and staff: Staff and caregiving are the strongest and most consistent themes across the reviews. Multiple reviewers single out staff as exceptional, well-trained, professional, and loving. Caregivers frequently receive praise for responsiveness (several reports cite 5–10 minute assistance times), hands-on skill with complex needs (Hoyer lift use, prevention of bed sores), and for going above and beyond (arranging surprise parties, personalized celebrations). Several staff and leadership figures are named positively, indicating strong personal relationships between families and specific employees. That said, there is variability: some reviews report inconsistent follow-ups on concerns, occasional understaffing, and high turnover. These issues appear sporadic but notable, because they contrast sharply with the otherwise high level of praise.
Facilities and location: The physical setting is another major positive. Many reviewers describe renovated, attractive interiors with modern furniture, a spacious main room (some noting a grand piano), and bright, well-lit rooms. The garden courtyard and outdoor walking paths receive frequent acclaim—called extensive, well-kept, and oasis-like—and are often cited as a defining feature that enhances residents’ quality of life. The central San Francisco location near Kaiser, UCSF, Trader Joe's and other conveniences is noted as a practical advantage. However, there are exceptions: a subset of reviewers describe certain areas as dated, in need of refurbishment, or still undergoing renovations; some private rooms are described as small or hospital-like (twin beds, monitoring beeps), which may reflect portions of the building that were converted from a prior hospital use.
Dining and nutrition: Dining is generally presented as a strength. Multiple reviewers praise chef-prepared, nutritious meals, holiday menus, and accommodations for dietary needs. Chef Jose receives several direct commendations. At the same time, a number of reviews raise specific dining concerns: meals arriving not warm enough, limited options leading to food waste, and a desire for more customization. These comments suggest the culinary program is high-quality but may have operational inconsistencies (timing, portioning, or menu flexibility) that affect some residents’ daily experience.
Activities, engagement, and community life: Reviews consistently highlight an active, varied calendar with both routine and special programming—bingo, blackjack, exercise classes, Mah Jong, music concerts, flower arranging, Watermark University classes, intergenerational storytelling, performances from local schools and organizations, and seasonal barbecues. Families and residents frequently note that activities promote socialization and emotional well-being; several reviews specifically call out staff who lead or coordinate robust programs. A few reviewers felt the memory care unit had fewer activities at certain times (notably during or after pandemic restrictions), indicating some unevenness in programming by unit or by time period.
Safety and clinical services: Safety features and clinical competence are frequently commended. Many accounts reference proactive health monitoring, knowledgeable handling of transfers and lifts, and an environment suitable for activities of daily living (ADL) assistance. The presence of monitoring devices and hospital-style call systems earns mixed reactions—while some families appreciate the added safety, others find the auditory environment (monitor beeps) or hospital-like feel less homelike. There are also procedural complaints: restrictive medication delivery policies and instances where therapy services were promised but not delivered.
Management and communication: Communication receives both praise and critique. Several reviewers applaud thoughtful, proactive updates, helpful intake coordination, and a director or main contact who keeps families informed. Conversely, others ask for centralized, regular communications and point to gaps—front desk vacancies, inconsistent follow-through on issues, and variability in management quality over time. Multiple reviews note a change in management at some point; some families report clear improvement under new leadership, while others allege operational deterioration, broken promises, or serious business misconduct (e.g., allegations about rooms being re-sold or staff misrepresentation). These latter claims are comparatively rare but serious and should be weighed alongside the bulk of positive testimonials.
Patterns and notable concerns: The dominant pattern is of a small, intimate community with strong personal care, excellent outdoor space, and an active life—attributes that many families find comforting and valuable. The main concerns cluster around operational consistency: staffing levels and turnover, occasional lapses in follow-up and front-desk coverage, variability in dining execution, and administrative or policy issues (medication rules, therapy access). There are also outlier reports of serious misconduct and misrepresentation; while not the norm in the dataset, they are important red flags that families should investigate further.
Bottom line: Sagebrook Senior Living is overwhelmingly viewed as a caring, community-oriented place with highly praised staff, an outstanding garden courtyard, and a rich activities program supported by quality dining and central location. Prospective residents and families should focus on (1) verifying current staffing levels and turnover, (2) clarifying medication and therapy policies, (3) confirming room size and layout (especially if a private, non-hospital-feeling room is desired), and (4) asking for examples of recent management responses to concerns. Given the mix of very positive reports and some operational inconsistencies and rare serious allegations, an in-person visit, conversations with multiple families/residents, and written clarification from management will help confirm whether the current environment matches a prospective resident’s needs and expectations.
Location
About Sagebrook Senior Living
Sagebrook Senior Living sits around a big garden courtyard, and people seem to like that because it gives both outdoor and indoor space to enjoy, and you'll see the common areas have floor-to-ceiling windows that make the rooms bright and comfortable, plus there are beautiful public spaces to spend time with others or sit quietly. The place offers several floor plans with names like Sweet Bay, Paraguay, Queen Palm, Jacaranda, Eucalyptus, Bay Fig, and Redwood, so folks can pick the one that fits them best, and they've got studios, private and shared suites, and each one has a private bathroom. The community is pet-friendly, so residents can keep pets and even join pet therapy activities, and the staff offers daily services like room service, housekeeping, laundry, escorted help to meals or activities, and a support system with associates on site 24/7.
Security and care are present all day and night, and the staff helps with things like bathing, dressing, medication, and more through assisted living services. There's memory care for those with dementia, and respite care for short stays. Meals are served daily, and you can ask for room service if you don't feel like going out, and when folks want to get out, there's complimentary transportation for appointments and excursions, along with help handling medical scheduling and move-in coordination. The calendar stays full with events like bingo, chairrobics, community-centered outings, and you'll notice there's an emphasis on trying to keep life both active and social. Sagebrook focuses a lot on personal comfort through customizable amenities, and on privacy, safety, and a warm, safe place to live. There's a long history here, with more than thirty years in health and wellness, and the staff tries to help each person live in a way that fits their needs. Home care services can send trained aides to provide non-medical help and companionship for those living at home, and folks who want a more independent lifestyle can pick independent living options, where things are kept simple and convenient with social activities and less hassle. Sagebrook also ties into different online platforms for information and resources, but what stands out is the care options wrapped around that garden space, and a calendar that keeps people moving and engaged, along with support for pets and security that helps everyone feel safe every day.
Integral Senior Living (ISL), founded in 2002 and headquartered in Carlsbad, California, has emerged as a leading third-party management company specializing in senior independent living, assisted living, memory care, and new development properties. Managing 58 communities across 15 states including California, Oregon, Washington, Arizona, Utah, Idaho, Colorado, Texas, Oklahoma, Illinois, Tennessee, Alabama, Michigan, Missouri, and Florida, ISL ranks as the 20th largest senior living provider in the United States with annual revenues reaching $750 million.
In 2023, ISL entered a transformative partnership with Discovery Senior Living through an investment by Lee Equity Partners and Coastwood Senior Housing Partners, creating the nation's fifth-largest senior housing operator. This strategic alliance positioned ISL as Discovery's largest vertically integrated senior living operator, managing over 113 communities within the Discovery family of companies. Together, Discovery Senior Living has become the largest privately held operator in the U.S., with a portfolio of nearly 35,000 units across 350 communities in almost 40 states, supported by more than 17,000 employees.
ISL's care philosophy centers on fostering dignity and respect for residents while promoting their independence and individuality. Their person-centric approach is exemplified in programs like Generations Memory Care, where individuals are viewed as whole persons first rather than being defined by their conditions. The company delivers meaningful and vibrant life experiences through exceptional amenities, award-winning programs, chef-prepared meals, and expert care. This commitment extends to creating fulfilling work environments for associates, recognizing that employee satisfaction directly impacts resident care quality.
The company's excellence has earned significant recognition, including 19 communities being named among the Best Senior Living Communities for 2024. Under the leadership of President and CEO Collette Gray, who received the 2025 McKnight's Senior Living Women of Distinction Lifetime Achievement Award and was inducted into the McKnight's Women of Distinction Hall of Honor in 2023, ISL has maintained its position as an industry leader. The partnership with Discovery has proven transformative for operations, enhancing support services, improving employee retention through enhanced benefits, and allowing both companies to leverage best practices while maintaining their unique cultures and programs.
People often ask...
Sagebrook Senior Living offers competitive pricing, with rates starting at a cost of $4,500 per month.
Sagebrook Senior Living offers independent living, assisted living, and memory care.
There are 27 photos of Sagebrook Senior Living on Mirador.
Yes, Sagebrook Senior Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 2750 Geary Blvd, San Francisco, CA, 94118.
Yes, Sagebrook Senior Living 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
60
Inspections
12
Type A Citations
7
Type B Citations
5
Years of reports
10 Apr 2025
10 Apr 2025
Identified that a resident sustained a hip and wrist fracture from multiple unwitnessed falls due to inadequate supervision and failure to update care as fall risk increased. Identified that admission information suggested the resident could ambulate independently and communicate needs despite diagnoses, with conflicting input from the responsible party; the allegation that staff locked residents in bedrooms and did not conduct planned activities had insufficient evidence.
10 Apr 2025
10 Apr 2025
Identified that a resident left unassisted through a kitchen exit not operated by staff; the resident was located safely and returned with no injuries. A technical violation was issued.
08 Jan 2025
08 Jan 2025
Found that the allegation that staff did not maintain a comfortable temperature after heating damage was unsubstantiated; rooms remained warm, residents were comfortable, and blankets and portable heaters were provided during repairs. Found that the allegation of disrepair was unsubstantiated.
08 Jan 2025
08 Jan 2025
Found strong safety and care practices at the home, including clean conditions, adequate staffing, proper medication management, and ongoing resident engagement. Noted a technical violation for a tool bag with potentially dangerous items left in a resident's room and for missing oxygen-use signage on one floor.
13 Sept 2024
13 Sept 2024
Identified that a resident eloped from the residence without supervision on 8/25/2024 after being observed in the common area the previous evening; the resident was located at a nearby medical center with no injuries or significant changes in condition. Notified local police and the responsible party; the resident is unable to leave unassisted.
13 Sept 2024
13 Sept 2024
Investigated two allegations: lack of supervision and no active administrator on site. Found lack of supervision unsubstantiated and allegation of no active administrator on site unfounded; interviews indicated ongoing supervision and responsive care, including an incident where a resident slipped from a wheelchair but was promptly assisted.
Found no deficiencies after a health and safety review; observed adequate perishable and non-perishable foods on hand, good overall conditions, and a tour of the kitchen, living and dining areas across three floors, with two residents and two staff interviewed.
23 Feb 2024
23 Feb 2024
Confirmed no deficiencies during the inspection on February 23, 2024.
§ 9058
31 Jan 2024
31 Jan 2024
Found no deficiencies cited during a visit on January 31, 2024, and the findings were reviewed with the executive director.
31 Jan 2024
31 Jan 2024
No deficiencies were cited during the visit.
11 Jan 2024
11 Jan 2024
Identified two staff members without proper criminal background clearances; one could not be located in the site’s personnel records and the other lacked fingerprint clearance. A civil penalty of $1,000 was assessed for these deficiencies.
11 Jan 2024
11 Jan 2024
Identified deficiencies in staff clearance and security measures during an inspection. Civil penalties were assessed for non-compliance.
15 Aug 2023
15 Aug 2023
Found that the allegation that staff did not repair the resident's bathroom window was supported by evidence. The window was tight and hard to operate, and attempts to loosen it, including applying oil, were unsuccessful.
§ 87303(a)
15 Aug 2023
15 Aug 2023
Confirmed maintenance issue with resident's bathroom window, requiring excessive strength to open and close, posing potential safety risk.
31 May 2023
31 May 2023
Found that a resident’s window had been broken since 2021 and was not repaired despite documented requests, with towels placed by the window to keep it open and a room move offered only after a long delay.
Found that the radiator was leaking, with paper towels used to keep the area dry, and a space heater placed near the bed in violation of safety instructions.
31 May 2023
31 May 2023
Confirmed allegations related to a broken window, leaking radiator, and hazardous item placement next to a resident's bed during an inspection.
§ 87464(f)(1)
24 May 2023
24 May 2023
Found that the allegations could not be proven or disproven; the required standard to prove they occurred was not met, and the allegations are unsubstantiated.
24 May 2023
24 May 2023
Investigated allegations regarding the complaint; unable to prove or disprove them due to insufficient evidence. No citations issued.
03 May 2023
03 May 2023
Investigated an incident in which a resident became unresponsive after care and died. Requested submission of relevant documents by 5/4/2023; no deficiency cited; discussed with the sales director.
03 May 2023
03 May 2023
Found that the allegation of staff illegally evicting a resident was unfounded. The administrator and the resident's case manager confirmed the resident was discharged home as planned, with a caregiver escort and a friend present.
03 May 2023
03 May 2023
Investigated the allegation of staff illegally evicting a resident and found it to be unfounded, with confirmation that the resident was discharged according to their own directive and plan.
§ 87355(e)(2)
§ 87355(e)(1)
15 Mar 2023
15 Mar 2023
Investigated the allegation that the center failed to provide adequate food service, including reports of a bad hamburger, undercooked hot dogs, and foods not ordered. Found no evidence to support the claim; staff and residents reported overall satisfaction with meals and snacks, with a minor beverage mix-up noted.
15 Mar 2023
15 Mar 2023
Review of the allegation of inadequate food service found no clear evidence to support the claim. A minor issue with beverage selection was noted and addressed informally.
§ 87303(a)
§ 87307(d)(3)
05 Jan 2023
05 Jan 2023
Found no deficiencies after an unannounced annual visit on 1/5/23; infection control measures, daily screenings, signage, and cleanliness were adequate, with medication areas supervised and first aid kits present. LIC308, LIC500, and Administrator Certificate were requested for submission by 1/10/23.
05 Jan 2023
05 Jan 2023
Completed an annual inspection, no deficiencies found. All infection control practices were satisfactory.
19 Jul 2022
19 Jul 2022
Found that the mail-delivery issue and a resident leaving unassisted were reviewed, and no deficiencies were identified.
19 Jul 2022
19 Jul 2022
Reviewed an incident involving a resident upset after attempting to deliver mail to another resident, leading to unusual behavior observed by a bystander who called 911; determined that no deficiencies were present.
20 Jun 2022
20 Jun 2022
Investigated an incident where one resident delivered mail to another and was told not to touch it; the upset resident left, was seen at a nearby store performing an unusual act, a bystander called 911, and the resident later returned after a hospital stay.
20 Jun 2022
20 Jun 2022
Investigated an incident involving a resident who left the facility and engaged in unusual behavior, prompting a bystander to call 911.
03 Nov 2021
03 Nov 2021
Determined that a duvet was accidentally damaged during washing and reimbursement status was unclear. Found no evidence to support claims that staff were unresponsive, the home was not in good repair, unsafe accommodations were provided, or privacy was violated; residents reported feeling safe and staff were attentive.
03 Nov 2021
03 Nov 2021
Investigated the allegation that a staff member pulled a resident's ponytail in the dining room; found it unsubstantiated.
03 Nov 2021
03 Nov 2021
Found that a staff member indicated to another staff member an intention to give a resident a shower and was later found with pants down in the bathroom with the resident, engaging in inappropriate contact. This action violated the resident's personal rights.
03 Nov 2021
03 Nov 2021
Confirmed inappropriate contact between a caregiver and a resident, resulting in the removal of the caregiver from the facility.
22 Sept 2021
22 Sept 2021
Investigated an allegation that a staff member pulled a resident's ponytail in the dining room when asking her to sit on the couch. A skin assessment showed no injuries.
22 Sept 2021
22 Sept 2021
Investigated alleged incident involving staff pulling a resident's ponytail, no injuries found during assessment.
14 Sept 2021
14 Sept 2021
Found that on 8/17/2021 during breakfast, one resident swung a raised arm toward another, causing the second resident to fall, and it was noted that the aggressor sometimes grabs others’ food. Returned calm after the incident with no further problems reported, and no deficiency cited.
14 Sept 2021
14 Sept 2021
Confirmed an incident involving a resident pushing another resident, resulting in one resident being taken to the hospital for a fall. No further incidents were reported following updated care plans.
23 Aug 2021
23 Aug 2021
Investigated an incident from breakfast time where one resident swung an arm and another was on the floor; the allegation involved a resident who tends to grab others' food and another who attempted to stop it from affecting a third resident. Interviews with staff and involved residents were conducted and additional documentation requested; this matter requires further investigation.
23 Aug 2021
23 Aug 2021
Investigated an incident where one resident tried to stop another from grabbing food, resulting in the second resident falling to the floor. Further investigation was required after interviews and observations.
§ 87217
28 Jul 2021
28 Jul 2021
Investigated an allegation that a male caregiver undressed a resident and showered them, and was later found in a closed room with the resident and another resident. Police interviewed the resident; management interviewed staff; physician reports and hospital visit results were requested.
28 Jul 2021
28 Jul 2021
Investigated a concerning incident involving a caregiver and a resident in July 2021.
23 Jun 2021
23 Jun 2021
Identified two incidents of resident-to-resident altercations during meals: on 6/5/2021, a resident attempted to take another’s cookies, a third resident pushed the second, who sustained injuries; on 6/13/2021, a resident grabbed food from another, causing a punch and a stumble with no injuries. Observed three caregivers in the dining room during meal service, with one assisting a resident and the others supervising; no further incidents occurred, and no deficiencies were found.
23 Jun 2021
23 Jun 2021
Confirmed two incidents of resident altercations during meal services, resulting in injuries to one resident. Supervision was increased and care plans were updated in response to the incidents.
§ 1569.58
01 Mar 2021
01 Mar 2021
Found insufficient evidence to prove or disprove the bolting furniture allegation. Records and interviews indicated a plan to bolt furniture was in place.
01 Mar 2021
01 Mar 2021
Investigated an allegation about unbolted furniture in a resident's room; found insufficient evidence to confirm or deny the claim.
25 Nov 2020
25 Nov 2020
Found the allegation that a resident did not receive regular showers or basic services, with sponge baths instead of showers for months, as confirmed. Also found that the resident could not perform daily living activities, required three-person assistance, and had incontinent needs, with showers provided sporadically.
25 Nov 2020
25 Nov 2020
Confirmed allegations of a resident not receiving regular showers and safe accommodations at the facility.
20 Nov 2020
20 Nov 2020
Found that the allegation that residents did not receive showers since June 2020 and instead received sponge baths due to staffing shortages was valid.
20 Nov 2020
20 Nov 2020
Identified an allegation that a resident's condition worsened to require three-person assistance, leaving them unable to participate in activities of daily living and receiving sponge baths. Alleged the licensee did not request an exception or obtain authorization to retain someone with prohibited health conditions or arrange transfer to a higher level of care.
19 Nov 2020
19 Nov 2020
Identified cross-over of staff between MCU and AL areas with a positive COVID-19 case and quarantines for exposed residents; noted multiple recommendations on PPE use, cleaning/disinfection, staffing oversight, and equipment from several groups.
20 Nov 2020
20 Nov 2020
Investigated a complaint regarding a resident whose level of care had changed without proper authorization, resulting in a violation of health condition regulations.
19 Nov 2020
19 Nov 2020
Identified concerns and recommendations for staff and resident safety during a recent visit to the facility.
14 Nov 2020
14 Nov 2020
Identified failures to report a COVID-19 outbreak within 24 hours and to submit daily linelists to the local health department and licensing agency. A staff member tested positive for COVID-19 on 11/6 but the case was not reported until 11/12, and rosters requested on 11/11 and 11/12 were not provided.
14 Nov 2020
14 Nov 2020
Identified deficiencies in reporting pandemic-related information and failure to submit required linelists, as well as delayed reporting of staff COVID-19 case and submission of staff roster.
§ 87411(a)
17 Sept 2020
17 Sept 2020
Identified a photo taken without resident consent in an undisclosed area of the care setting, and staff group chat comments indicated residents were not treated with dignity. Found a staff member not associated with this site and lacking current fingerprint clearance dating back to 2020.
§ 80019(e)(1)
§ 87468.1
17 Sept 2020
17 Sept 2020
Identified unauthorized photography and inappropriate staff comments, along with an unverified staff member lacking fingerprint clearance, leading to a financial penalty.
07 May 2020
07 May 2020
Investigated allegation of bruising on a resident, but did not find evidence to support the claim.
§ 87615
20 Apr 2020
20 Apr 2020
Investigated allegation of overcharging for services, but could not conclusively prove if it occurred.
§ 87468.1(a)(2)
§ 87464(f)(1)
28 Jan 2020
28 Jan 2020
LPA conducted an inspection in response to allegations of missing money. Administrator followed protocol, found missing money in resident's room, and no deficiency was cited.