CALIFORNIA PACIFIC MEDICAL CTR- DAVIES CAMPUS HOSP
601 DUBOCE AVE
SAN FRANCISCO, CA, 94117
4156006000
CCN: 056245
5
Overall5
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CALIFORNIA URGENT CARE MEDICAL
1128b5
Excluded 1991-01-23
PACIFIC CARE MEDICAL SUPPLY, I
1128b8
Excluded 2006-07-20
Ownership
| Name | Role | % |
|---|---|---|
| SUTTER BAY HOSPITALS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| SUTTER HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| BELL, DIANA | CORPORATE DIRECTOR | NOT APPLICABLE |
| BLACK, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| CONFORTI, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEIKEL, THEODORE | CORPORATE DIRECTOR | NOT APPLICABLE |
| EISENHARDT, EMIL | CORPORATE DIRECTOR | NOT APPLICABLE |
| FLOWERS, ERIC | CORPORATE DIRECTOR | NOT APPLICABLE |
| HILL, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| HSIAO, KATHERINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KACHER COBB, JILL | CORPORATE DIRECTOR | NOT APPLICABLE |
| KREVANS, SARAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| LEVY, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| O'CONNELL, DENNIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| OLIVER, STEVEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| PADVAL, UMESH | CORPORATE DIRECTOR | NOT APPLICABLE |
| RYAN, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SINHA, RONESH | CORPORATE DIRECTOR | NOT APPLICABLE |
| TAYLOR, MARGARET | CORPORATE DIRECTOR | NOT APPLICABLE |
| VARNER, JANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| VILARDO, ELIZABETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| WAGNER, ANTHONY | CORPORATE DIRECTOR | NOT APPLICABLE |
| CONFORTI, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| GATES, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| HALL, KAREN | CORPORATE OFFICER | NOT APPLICABLE |
| PETRINI, JULIE | CORPORATE OFFICER | NOT APPLICABLE |
| GATES, JOHN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| PETRINI, JULIE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-05-23 | Fine | $4K |
Health Deficiencies (10)
2026-01-09 · Health
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F605 · 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.
2023-04-28 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F623 · 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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
9.18
RN Hrs/Resident/Day0.54
6.66
LPN Hrs/Resident/Day0.81
0.05
CNA Hrs/Resident/Day2.33
2.47
PT Hrs/Resident/Day0.12
0.41
Data as of 2026-03-01