California Pacific Medical Ctr- Davies Campus Hosp

Name: California Pacific Medical Ctr- Davies Campus Hosp
Address: 601 DUBOCE AVE, San Francisco, CA, 94117, US
Telephone: 4156006000

601 Duboce Ave, San Francisco, CA 94117 · San Francisco County · 38 certified beds · avg 27 residents/day · certified since Oct 19, 1970

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.33

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (10)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 9, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	D
2026	4	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	7.33	4.31	3.95	top 2% in California; top 1% in the U.S.
Registered Nurse hours	5.41	0.61	0.69	top 1% in California; top 1% in the U.S.
Weekend total nurse staffing	6.99	3.90	3.50	top 1% in California; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	6.26	0.51	0.48	top 1% in California; top 1% in the U.S.
Total nursing staff turnover (%)	29.0	36.7	45.8	top 26% in California; top 13% in the U.S.
RN turnover (%)	27.5	38.1	42.9	top 32% in California; top 25% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 8.97, RN 6.62, weekend 8.55. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: —/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Sutter Bay Hospitals	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2016
Sutter Health	Organization	5% or Greater Indirect Ownership Interest	100%	07/31/2009
Bell, Diana	Individual	Corporate Director	NOT APPLICABLE	05/20/2015
Black, David	Individual	Corporate Director	NOT APPLICABLE	05/20/2015
Conforti, James	Individual	Corporate Director	NOT APPLICABLE	03/12/2012
Conforti, James	Individual	Corporate Officer	NOT APPLICABLE	03/12/2012
Deikel, Theodore	Individual	Corporate Director	NOT APPLICABLE	01/01/2010
Eisenhardt, Emil	Individual	Corporate Director	NOT APPLICABLE	08/05/2009
Flowers, Eric	Individual	Corporate Director	NOT APPLICABLE	05/20/2015
Gates, John	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2010
Gates, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Hall, Karen	Individual	Corporate Officer	NOT APPLICABLE	05/20/2015
Hill, Richard	Individual	Corporate Director	NOT APPLICABLE	05/20/2015
Hsiao, Katherine	Individual	Corporate Director	NOT APPLICABLE	01/01/2014
Kacher Cobb, Jill	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Krevans, Sarah	Individual	Corporate Director	NOT APPLICABLE	06/21/2012
Levy, Richard	Individual	Corporate Director	NOT APPLICABLE	05/20/2015
O'Connell, Dennis	Individual	Corporate Director	NOT APPLICABLE	01/01/2010
Oliver, Steven	Individual	Corporate Director	NOT APPLICABLE	01/01/2010
Padval, Umesh	Individual	Corporate Director	NOT APPLICABLE	01/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can I see where garbage is stored and how often it's removed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Hayes Convalescent Hospital	0.7 mi	San Francisco, CA	★★★★★	5/5
San Francisco Health Care	0.7 mi	San Francisco, CA	★☆☆☆☆	1/5
Central Gardens Post Acute	0.9 mi	San Francisco, CA	★★★★★	5/5
Sequoias San Francisco Convalescent Hospital	1.1 mi	San Francisco, CA	★★★★☆	3/5
Victorian Post Acute	1.3 mi	San Francisco, CA	★★★★★	4/5
Pacific Heights Transitional Care Center	1.4 mi	San Francisco, CA	★★★★★	5/5
Zuckerberg San Francisco General Hosp & Trauma SNF	1.4 mi	San Francisco, CA	★★★★★	5/5
Laurel Heights Community Care	1.4 mi	San Francisco, CA	★★★★★	4/5
San Francisco Towers	1.5 mi	San Francisco, CA	★★★★★	5/5
City View Post Acute	1.5 mi	San Francisco, CA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in San Francisco →

Facility data as of CMS processing date 2026-08-01. CCN 056245.

The Care File

Visit checklist — California Pacific Medical Ctr- Davies Campus Hosp

601 Duboce Ave, San Francisco, CA 94117 · 4156006000

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056245 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)