Laguna Honda

Replacement Hospital
Laguna Honda Hospital and Rehabilitation Center Exterior



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, Laguna Honda is one of the largest skilled nursing facilities in the United States, and represents the one of the most extensive commitments by any city or county to therapeutic care for seniors and adults with disabilities. It was founded in 1866 to care for one of the first generations of San Franciscans, the Gold Rush pioneers, and remains a civic icon more than a century and a half later.

San Francisco’s reputation for health care innovation continues with the new Laguna Honda Hospital and Rehabilitation Center, a technologically sophisticated and holistically planned facility.  California’s first green certified hospital, Laguna Honda presents a new public health model for providing long term care and rehabilitation services to a safety net population.  Relying on new research into the effects of the built environment on patient outcomes, the three new buildings on Laguna Honda’s campus are uniquely suited to support the healing work of the city’s skilled nursing and rehabilitation programs.

Laguna Honda’s 765 residents take an active role in directing their own care, including making decisions about basic activities of daily living, such as eating, sleeping or choosing when and where to enjoy recreation and privacy.  The buildings are also designed to foster a community atmosphere and to take advantage of the healing effects of Laguna Honda’s natural environment.  The heart of the new buildings is the Esplanade, a broad indoor boulevard modeled after the main street of a small town. Among the places to meet and greet that line the Esplanade are a café, a community theatre, two art studios, a multi-media library with a fireplace, barber and beauty shops, a tropical bird aviary, and a cafeteria with indoor and outdoor seating.


  • Includes groundbreaking technologies to accommodate patients with Alzheimer’s and other dementias
  • Uses the building to “serve as caretaker” by using technology to serve as the first response in support of the facility’s healing work
  • Leverages technology to enable patient comfort and increase staff efficiencies


  • Strategic Technology Master Planning
  • Infrastructure Engineering
  • System Design and Specification
  • Technology Integration
  • Construction Administration
  • Technology Project Management


  • Patient and Asset Tracking
  • Wireless Network Systems
  • Patient Television System
  • Nurse Call / Code Blue
  • Overhead Paging System
  • Master Clock System 
  • Client: San Francisco Department of Public Health and Public Works
  • Location: San Francisco, CA
  • Project Type: Healthcare
  • Facility: Hospital and Rehabilitation Center
  • Architect: Stantec