01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-09 | 4 | 2026-01-09 | 7 |
| Cycle 2 | 2024-07-11 | 0 | 2024-07-11 | 3 |
| Cycle 3 | 2023-04-28 | 6 | 2023-04-28 | 3 |
CMS CCN 0562452026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
California Pacific Medical Ctr- Davies Campus Hosp
601 Duboce Ave · San Francisco, CA 94117 · San Francisco County
Certified beds38CMS provider file
Recent citation rows23current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
23 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-09 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-09 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-09 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-09 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-09 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-09 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-09 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-022026-01-09 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-02-192026-01-09 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-01-222026-01-09 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-02-042026-01-09 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-02-102024-07-11 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-07-242024-07-11 · FIREE0030Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-07-242024-07-11 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-07-242023-04-28 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-05-172023-04-28 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-04-28 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2023-05-302023-04-28 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-05-232023-04-28 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-28 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-28 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-05-232023-04-28 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-05-172023-04-28 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-05-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SUTTER BAY HOSPITALSOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/01/2016
- SUTTER HEALTHOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/31/2009
- GATES, JOHNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2010
- PETRINI, JULIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2019
- BELL, DIANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/20/2015
- BLACK, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/20/2015
- CONFORTI, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2012
- DEIKEL, THEODOREIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2010
- EISENHARDT, EMILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2009
- FLOWERS, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/20/2015
- HILL, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/20/2015
- HSIAO, KATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- KACHER COBB, JILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- KREVANS, SARAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/21/2012
- LEVY, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/20/2015
- O'CONNELL, DENNISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2010
- OLIVER, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2010
- PADVAL, UMESHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours8.97per resident day
RN hours6.62per resident day
Weekend nurse hours8.55per resident day
Staff turnover29.0%CMS reported field
06 / LOCAL RECORDS
Open the San Francisco ledger →Other published facilities nearby
Central Gardens Post Acute92 beds · CMS overall 5/547 citation rowsChinese Hospital D/P Snf23 beds · CMS overall 4/532 citation rowsCity View Post Acute180 beds · CMS overall 2/574 citation rowsHayes Convalescent Hospital34 beds · CMS overall 5/521 citation rowsJewish Home & Rehab Center D/P Snf362 beds · CMS overall 5/595 citation rowsLaguna Honda Hospital & Rehabilitation Ctr D/P Snf769 beds · CMS overall 3/579 citation rowsLaurel Heights Community Care32 beds · CMS overall 5/536 citation rowsLawton Skilled Nursing & Rehabilitation Center68 beds · CMS overall 5/541 citation rows