California Pacific Medical Ctr- Davies Campus Hosp

Inspection Results

Nursing Homes California San Francisco California Pacific Medical Ctr- Davies Campus Hosp

California Pacific Medical Ctr- Davies Campus Hosp has been cited for a total of 40 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for California Pacific Medical Ctr- Davies Campus Hosp.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 1244 nursing homes in California with a total of 104,457 deficiencies resulting in an average of 83.97 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-25

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-30

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-23

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-31

Dispose of garbage and refuse properly.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-31

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-04-28

Corrected:

2023-05-23

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-21

Corrected:

2022-04-05

Report COVID19 data to residents and families.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-21

Corrected:

2022-04-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-21

Corrected:

2022-04-05

Report COVID19 data to residents and families.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-21

Corrected:

2022-04-05

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Keep all essential equipment working safely.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Keep all essential equipment working safely.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-12

Corrected:

2019-11-18

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-12

Corrected:

2018-12-19

Give residents a notice of rights, rules, services and charges.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-09-15

Corrected:

2017-10-16

Store, cook, and serve food in a safe and clean way.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-09-15

Corrected:

2017-10-16

Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-09-15

Corrected:

2017-10-16

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-09-15

Corrected:

2017-10-16

Learn more about California Pacific Medical Ctr- Davies Campus Hosp at the following resources

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California Pacific Medical Ctr- Davies Campus Hosp

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