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CALIFORNIA PACIFIC MEDICAL CTR- DAVIES CAMPUS HOSP

Overall Rating

Address

601 Duboce Ave

San Francisco, CA 94117

Contact

4156006000

Certification Date

1970-10-19

Details

CMS Certification Number

056245

Ownership Type

Non profit - Corporation

Number of Certified Beds

38

Average Number of Residents per Day

25.0

Provider Type

Medicare and Medicaid

Legal Business Name

SUTTER BAY HOSPITALS

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

5

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.33123

Reported LPN Staffing Hours per Resident per Day

0.00000

Reported RN Staffing Hours per Resident per Day

6.07318

Reported Total Nurse Staffing Hours per Resident per Day

9.40441

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

8.55415

Registered Nurse Hours per Resident per Day on the Weekend

5.34829

Reported Physical Therapist Staffing Hours per Resident Per Day

0.32949

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

44.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

2

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-04-28

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

0

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Rating Cycle 2

Standard Health Survey Date

2019-09-12

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 3

Standard Health Survey Date

2018-09-12

Total Number of Health Deficiencies

11

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

0

Health Deficiency Score

124

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

124

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

4849.46

Number of Payment Denials

0

Total Number of Penalties

2