California Pacific Medical Ctr - St. Luke'S Campus

3555 Cesar Chavez Street
San Francisco, CA 94110
San Francisco County
Phone: 415-647-8600
Provider Number: 555243
Last Inspection: 12/19/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
79
Number of Residents
Number of
Residents
40
Number of Beds Available
Beds Available
39
Percent Occupancy
Percent Occupancy
51%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
YES

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • CA
  • USA
  • 18
  • 26
  • 31
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 18
  • 42
  • 21
Lower Numbers are Better

Details by Inspection Date

 

12/19/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/23/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 1/23/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/23/2015
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/23/2015
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 1/23/2015
 

12/20/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 2/11/2014
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 2/11/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 2/11/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 2/11/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 2/11/2014
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Isolated : Minimal 3 2/11/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/11/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/11/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 2/11/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 2/11/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/11/2014
Failed To: Provide bedrooms that hold no more than 4 residents per room. Pattern : Potential 3 2/11/2014
 

12/21/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/23/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/23/2013
Failed To: Provide bedrooms that hold no more than 4 residents per room. Pattern : Potential 3  
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 1/23/2013
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 1/23/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/23/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

9/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/19/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg CA State Avg
Number of Residents 40 113.55 84.73
Registered Nurses 2.87 1.14 0.87
Licensed Practical / Vocational Nurses 2.18 0.61 0.98
Certified Nursing Assistants 2.93 2.65 2.61
Total Staff Hours 7.98 4.40 4.46

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% CA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 11 4 6
Long Stay Residents Experiencing One or More Falls with Major Injury 0 2 1
Long Stay Residents Who Have Depressive Symptoms 0 0 1
Long Stay Residents Who Lose Too Much Weight 13 6 6
Long Stay Residents Who Received an Antipsychotic Medication 7 10 13
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 5 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 6 5
Long Stay Residents Who Were Physically Restrained 8 3 5
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 22 1 1
Long Stay Residents With a Urinary Tract Infection 26 15 11
Short Stay Residents Who Newly Received an Antipsychotic Medication 3 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 22 4 3
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 13 40 44
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 7 1 1
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 16 12