CALIFORNIA PACIFIC MEDICAL CENTER-DAVIES CAMPUS HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at California Pacific Medical Center-Davies Campus Hospital. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CALIFORNIA PACIFIC MEDICAL CENTER-DAVIES CAMPUS HOSPITAL
45 CASTRO STREET
SAN FRANCISCO, CA 94114
(415) 600-6000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

66%

Number of Residents and Certified Beds

  • Residents: 25
  • Certified Beds: 38

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Daly City | Pacifica | Alameda

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by California Pacific Medical Center-Davies Campus Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.5%
ADL Index Range: 2-101.5%
Total Percent:4.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
Total Percent:0.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.3%
ADL Index Range: 6-103.8%
ADL Index Range: 0-57.7%
Total Percent:16.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1613.3%
ADL Index Range: 6-1015.3%
ADL Index Range: 0-514.0%
Total Percent:42.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
1.6%
Total Percent:1.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.4%
ADL Index Range: 11-14
- No Signs of depression
2.9%
ADL Index Range: 6-10
- Signs of depression
1.2%
ADL Index Range: 6-10
- No Signs of depression
2.5%
ADL Index Range: 2-5
- No Signs of depression
2.1%
Total Percent:9.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
2.2%
ADL Index Range: 6-10
- Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
3.6%
ADL Index Range: 2-5
- No Signs of depression
1.6%
Total Percent:7.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.7%
ADL Index Range: 11-14
- No Signs of depression
0.4%
ADL Index Range: 6-10
- No Signs of depression
1.8%
ADL Index Range: 2-5
- Signs of depression
2.0%
ADL Index Range: 2-5
- No Signs of depression
5.2%
ADL Index Range: 0-1
- No Signs of depression
6.5%
Total Percent:16.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For California Pacific Medical Center-Davies Campus Hospital

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 43 Minutes
Total Licensed Nurse Hours3 Hours
Total Nurse Hours5 Hours and 44 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season33%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination39%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores12%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain35%23%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/11/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Resident Rights

Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life.
  • Inspection Date: 07/25/2008
  • Correction Date: 08/27/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 06/12/2009
  • Correction Date: 07/24/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/11/2010
  • Correction Date: 07/09/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for California Pacific Medical Center-Davies Campus Hospital, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Resident Rights

Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Complaint Filed: 04/15/2010
  • Correction Date: 07/26/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that California Pacific Medical Center-Davies Campus Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/21/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 05/21/2010
  • Correction Date: 06/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/22/2009
  • Correction Date: 08/06/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/21/2010
  • Correction Date: 06/21/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011