JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

California Pacific Medical Ctr-Davies Campus Hosp

3 / 5

At a glance

California Pacific Medical Ctr-Davies Campus Hosp 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 12 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 Limit0.027Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.710Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1999Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.820Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.549Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.807Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1977Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.710Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures5Not available
SSI - Colon Surgery: Predicted Cases0.123Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.009Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.268Same as national
MRSA Bacteremia: Upper Confidence Limit5.290Same as national
MRSA Bacteremia: Patient Days17714Same as national
MRSA Bacteremia: Predicted Cases1.249Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.601Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.079Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.850Better than national
Clostridium Difficile (C.Diff): Patient Days17714Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.603Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.312Better 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 patients3.1Same as national123
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national416
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.3Same as national62
Death rate for pneumonia patients15.4Same as national71
Death rate for stroke patients12Same as national187
Pressure ulcer rate0.32Same as national1461
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2031
In-hospital fall-associated fracture rate0.25Same as national2032
Postoperative hemorrhage or hematoma rate2.84Same as national414
Postoperative acute kidney injury requiring dialysis rate1.41Same as national211
Postoperative respiratory failure rate11.95Same as national218
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national419
Postoperative sepsis rate5.61Same as national198
Postoperative wound dehiscence rate1.74Same as national52
Abdominopelvic accidental puncture or laceration rate1.02Same as national232
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patientsNot available
Hospital return days for heart failure patients40.3Not available74
Hospital return days for pneumonia patients-7.4Not available79
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national708
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national312
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20Same as national74
Rate of readmission after hip/knee replacement4.5Same as national108
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national79

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 rating3495
Doctor communication - star rating4495
Communication about medicines - star rating3495
Discharge information - star rating4495
Cleanliness - star rating3495
Quietness - star rating2495
Overall hospital rating - star rating3495
Recommend hospital - star rating4495
Summary star rating3495

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 volumelow
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 Hypoglycemia1749
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination82905
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 better176401
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 better162337
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27947
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39417
Left before being seen213618
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing211112
Appropriate care for severe sepsis and septic shock7453
Septic Shock 3-Hour Bundle8513
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8353
Severe Sepsis 6-Hour Bundle9537
Discharged on Antithrombotic Therapy98211
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis99476

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is California Pacific Medical Ctr-Davies Campus Hosp rated?
California Pacific Medical Ctr-Davies Campus Hosp has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does California Pacific Medical Ctr-Davies Campus Hosp have emergency services?
According to CMS records, California Pacific Medical Ctr-Davies Campus Hosp does not report a 24/7 emergency department.
Where is California Pacific Medical Ctr-Davies Campus Hosp located?
California Pacific Medical Ctr-Davies Campus Hosp is located at 601 Duboce Avenue, San Francisco, CA 94117.
What type of hospital is California Pacific Medical Ctr-Davies Campus Hosp?
California Pacific Medical Ctr-Davies Campus Hosp is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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