Kaiser Foundation Hospital - San Francisco
An acute care hospital in San Francisco, California 94115
2425 Geary Blvd, San Francisco, California 94115. (415) 833-2646.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 239 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 7, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Aug 7, 2025: complaint inspection1 deficiency
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Informed Consent
The inspectors’ words, 1,074 words
“INFORMED CONSENT CFR(s): 482.51(b)(2) A properly executed informed consent form for the operation must be in the patient’s chart before surgery, except in emergencies. This Standard is not met as evidenced by: 49264 Based on interview and record review, the facility failed to have a properly executed informed consent form (a legal voluntary agreement to accept treatment and/or procedures after receiving education regarding the risks, benefits, and alternatives offered) for 1 out of 30 sampled patients (Patient 6) when Patient 6 underwent a planned Cesarean section (C-section, a surgical procedure in which an incision is made on the abdomen to deliver a baby), yet their consent form had the incorrect responsible physician and did not have a witness signature (a signature made by someone who is responsible for observing the patient sign a legal document). This failure has the potential for a loss of patients’ rights and possible harm. Findings: A review of Patient 6’s Labor and Delivery (L&D) note (a summary of how a patient delivers a baby in a hospital) written by Medical Doctor (MD) 1, dated 08/02/25, indicated Patient 6 “was admitted on 08/02/2025 for scheduled repeat c-section.” The note further indicated a list of surgeons involved in the procedure: MD 1 as “primary” surgeon, MD 2 as “assisting” surgeon, and MD 3 as “Supervising Surgeon.” A review of Patient 6’s Operating Room Audit Log (a summary of events before, during, and after a surgical procedure), dated 08/02/25, indicated a panel of surgeons in the room as MD 1, MD 2, and MD 3. In addition, the audit log indicated Registered Nurse (RN) 1 as the primary circulating nurse (a nurse responsible for coordinating patient care during surgical procedures) for the procedure. During a concurrent interview and record review on 08/06/25 at 2:37 PM with RN 1, Patient 6’s informed consent form titled “Consent for Operation, Anesthesia [intervention that temporarily block pain/sensation during a procedure], Procedures, and Medical Services”, dated 08/02/25, was reviewed. Patient 6’s informed consent form indicated the agreement was to “have the following operation or procedure: CESAREAN SECTION ...The responsible surgeon is: [MD 4]”. The informed consent form further indicated, “My doctor [MD 4] has explained to me: what the operation or procedure and anesthesia will be like. We have also talked about the purpose, risks, benefits, and alternatives to the procedure and plan of care ...I give my consent for this procedure. I authorize the above named surgeon(s) to: Preform the above-described operation or procedure as well as any additional services which are considered needed to treat or correct conditions ...” The informed consent form was signed by Patient 6, but the witness signature was left blank. RN 1 stated that it is important for a signature to be witnessed because “it’s to confirm that it’s not a falsified signature ... and that a medical provider has provided informed consent.” RN 1 acknowledged the missing witness signature on Patient 6’s informed consent form stating, “it should be witnessed ...that was certainly missed.” During a concurrent interview and record review on 08/06/25 at 3:17 PM with MD 1, Patient 6’s informed consent form titled “Consent for Operation, Anesthesia, Procedures, and Medical Services”, dated 08/02/25, was reviewed. Patient 6’s informed consent form had a blank witness signature line and indicated MD 4 as the surgeon responsible for the C-Section. MD 1 stated that the “supervising attending” physician (a fully licensed and trained MD who has completed residency and is responsible for the overall care of a patient in a hospital) would be the named responsible surgeon on an informed consent form. MD 1 stated she was the primary surgeon for Patient 6’s c-section on 08/02/25 and she was supervised by MD 3; MD 1 acknowledged that MD 3’s name was not the documented responsible surgeon on the consent form stating, “we usually reprint [the consent form]” if the responsible surgeon changes ... “and it was missed”. MD 1 further stated that a nurse will witness the signature by a patient “to make sure they [the patient] were the one that did it [signed the form].” During a concurrent interview and record review on 08/07/25 9:47 AM with Nurse Manager (NM) 1, Patient 6’s informed consent form titled “Consent for Operation, Anesthesia, Procedures, and Medical Services”, dated 08/02/25, was reviewed. Patient 6’s informed consent form had a blank witness signature line and indicated MD 4 as the surgeon responsible for the C-Section. NM 1 stated she is the nurse manager for the post-partum unit (part of hospital where new parents and their babies receive care right after delivery), but she covers for the labor and delivery unit if the regular NM is off. NM 1 stated that a nurse will usually witness a singed consent form “to make sure that the physician has reviewed [the consent] with the patient and has been able to answer the clarifying questions.” NM 1 reviewed the blank witness signature line and was asked if this was consistent with expectations for a completed consent form; NM 1 stated, “absolutely not ... no.” When asked if the name of the responsible doctor on the consent form should match the doctor that was present in the operating room, NM 1 stated affirmatively, “mhm ... because it would be clear that they [the doctor] would be taking ownership and following them [the patient] to the OR.” A review of facility policy and procedure (P&P) titled, “Consent NCAL Regional Policy”, approved on March 2024, indicated “The consent process provides an opportunity to establish a mutual understanding between the patient and the physician or Allied Health Practitioner (AHP) about the care, treatment, and services that the patient will receive. Consent is a process that considers the patient rights and preferences, compliance with law and regulation, and patient education. The use of the consent process helps the patient to participate fully in decisions about their care, treatment, and services ...A discussion between the patient ... and the Physician or AHP is the most important part of the informed consent process and will include the following: ... Identify by name and profession the Physician/AHP who has primary responsibility for the treatment or procedure ...Obtaining the Patient Signature: ... The witness is expected only to confirm that they were present when the form is singed by the patient ... and should indicate that they witnessed the singing by placing their signature in the designated space on the form, including date and time ...””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 7, 2025 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 1; safety of care, 2 better and 0 worse of 7; readmission, 0 better and 0 worse of 1.
- Patients rate it 3 of 5 in CMS’s patient survey (2,553 surveys completed, Oct 1, 2024 to Sep 30, 2025): 69% rated it 9 or 10 out of 10, and 72% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, worse than the national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): stroke 12.9%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 12.9%, heart failure 21.8%, pneumonia 17%, COPD 19.1%, heart bypass surgery 10%. CMS gives no comparison with the national rate for them in this release.
- 62% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.86 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 69% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Kaiser Foundation Hospitals runs it.
- 19 owners or officers are people: David J Barger (corporate director); Margaret E Porfido (corporate director); Tarek Salaway (corporate officer); Tarek Salaway (managing employee (on the payroll)); Tarek Salaway (runs it (operational or managerial control)); Jenny Ming (corporate director); Richard P Shannon (corporate director); Regina M Benjamin (corporate director); Judith A Johansen (corporate director); David F Hoffmeister (corporate director); Carrie A Owen Plietz (corporate officer); Arnold Eugene Washington (corporate director); Ines Gaeta (runs it (operational or managerial control)); Jeffrey E Epstein (corporate director); Ramon F Baez (corporate director); Gregory A Adams (corporate officer); Gregory A Adams (corporate director); Matthew T Ryan (corporate director); Leslie S Heisz (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 13 hospitals CMS lists in San Francisco County, 10 have an overall star rating from CMS: 5 rated 4 of 5, 3 rated 3 of 5, 2 rated 2 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.