The fate of patients at Laguna Hospital rests in the hands of what San Francisco leaders described Tuesday as an “unaccountable bureaucracy.”
Facing an imminent deadline on Feb. 2, The City is anxiously awaiting a response from the federal Centers for Medicare & Medicaid Services, or CMS, to its request to pause patient transfers out of Laguna Honda.
The city-owned hospital has operated since 1866 but was decertified last year by CMS, which cited a host of issues with its operations that ranged from hand hygiene to safety protocols. The review was prompted when the hospital reported two non-fatal overdoses that occurred on its grounds in 2021. Certification is hugely important to Laguna Honda. Medicare and Medicaid reimbursements amount to a majority of its revenue, more than $200 million annually. Under a deal struck between The City and CMS last November, the latter will continue to provide reimbursement for care at Laguna Honda.
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