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Acute Care Hospitals · Voluntary non-profit - Private

California Pacific Medical Center- Van Ness Campus

3 / 5

At a glance

California Pacific Medical Center- Van Ness Campus carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.151Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.912Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10547Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.152Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.411Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.086Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.924Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6774Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.834Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.340Better than national
SSI - Colon Surgery: Lower Confidence Limit0.674Same as national
SSI - Colon Surgery: Upper Confidence Limit3.457Same as national
SSI - Colon Surgery: Number of Procedures153Same as national
SSI - Colon Surgery: Predicted Cases3.610Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.662Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.316Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.228Same as national
SSI - Abdominal Hysterectomy: Number of Procedures144Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.061Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.885Same as national
MRSA Bacteremia: Lower Confidence Limit0.116Same as national
MRSA Bacteremia: Upper Confidence Limit1.245Same as national
MRSA Bacteremia: Patient Days88760Same as national
MRSA Bacteremia: Predicted Cases6.558Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.457Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.185Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.428Better than national
Clostridium Difficile (C.Diff): Patient Days73205Better than national
Clostridium Difficile (C.Diff): Predicted Cases76.469Better than national
Clostridium Difficile (C.Diff): Observed Cases22Better than national
Clostridium Difficile (C.Diff)0.288Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national1400
Death rate for heart attack patients10.8Same as national156
Death rate for CABG surgery patients1.9Same as national55
Death rate for COPD patients9.4Same as national58
Death rate for heart failure patients9.8Same as national356
Death rate for pneumonia patients16.6Same as national228
Death rate for stroke patients15.2Same as national169
Pressure ulcer rate0.33Same as national5406
Death rate among surgical inpatients with serious treatable complications192.86Same as national140
Iatrogenic pneumothorax rate0.31Same as national6430
In-hospital fall-associated fracture rate0.28Same as national7168
Postoperative hemorrhage or hematoma rate2.63Same as national1954
Postoperative acute kidney injury requiring dialysis rate2.47Same as national925
Postoperative respiratory failure rate10.13Same as national1112
Perioperative pulmonary embolism or deep vein thrombosis rate3.30Same as national2196
Postoperative sepsis rate7.26Same as national1084
Postoperative wound dehiscence rate1.67Same as national832
Abdominopelvic accidental puncture or laceration rate1.14Same as national2271
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients22.5Not available189
Hospital return days for heart failure patients8.9Not available442
Hospital return days for pneumonia patients57.2Not available215
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national2330
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national551
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national157
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national157
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national219
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national189
Rate of readmission for CABG10.5Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national55
Heart failure (HF) 30-Day Readmission Rate19.8Same as national442
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.6Same as national215

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3540
Doctor communication - star rating3540
Communication about medicines - star rating3540
Discharge information - star rating4540
Cleanliness - star rating4540
Quietness - star rating3540
Overall hospital rating - star rating4540
Recommend hospital - star rating5540
Summary star rating4540

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia13283
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination872689
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better198397
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better184356
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27424
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better42018
Left before being seen241100
Head CT results8621
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8381
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163066
Appropriate care for severe sepsis and septic shock68125
Septic Shock 3-Hour Bundle7046
Septic Shock 6-Hour Bundle8025
Severe Sepsis 3-Hour Bundle87127
Severe Sepsis 6-Hour Bundle9691
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis975880
Intensive Care Unit Venous Thromboembolism Prophylaxis981511

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is California Pacific Medical Center- Van Ness Campus rated?
California Pacific Medical Center- Van Ness Campus has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does California Pacific Medical Center- Van Ness Campus have emergency services?
Yes. California Pacific Medical Center- Van Ness Campus operates a 24/7 emergency department.
Where is California Pacific Medical Center- Van Ness Campus located?
California Pacific Medical Center- Van Ness Campus is located at 1101 Van Ness Avenue, San Francisco, CA 94109.
What type of hospital is California Pacific Medical Center- Van Ness Campus?
California Pacific Medical Center- Van Ness Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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