About the Facility
- CMS Certification Number (CCN)
- 033029
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1921 West Hospital Drive
- Phone Number
- (520) 742-2800
Facility Medical Condition Statistics
- All other conditions
- 142
- Brain disease or condition (non-traumatic)
- 45
- Brain injury (traumatic)
- 70
- Hip or femur fracture
- 101
- Hip or knee replacement, amputation or other bone or joint condition
- 158
- Nervous system disorder (excluding stroke)
- 149
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 133
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.047
- SIR 95% confidence interval - upper limit
- 4.614
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 912
- Predicted number of infections (B)
- 1.069
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.935
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 810
- Denominator
- 813
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 707
- Average observed change score
- 13.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.0
- Denominator
- 707
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 549
- Denominator
- 707
- Facility rate
- 77.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 507
- Denominator
- 707
- Facility rate
- 71.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 813
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.131
- SIR 95% confidence interval - upper limit
- 1.406
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,015
- Predicted number of infections (B)
- 5.808
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.517
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 336
- Number of health care workers
- 372
- Rate of flu vaccination
- 90.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 58
- Number of eligible stays
- 742
- Unadjusted potentially preventable readmission rate
- 7.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.02
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 10.98
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 816
- Unadjusted potentially preventable readmission rate
- 3.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.50
- Upper limit of the 95% confidence interval on the RSRR
- 6.02
- Comparative performance category
- No Different than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 488
- Number of eligible stays
- 654
- Observed discharge to community rate
- 74.62
- Risk-standardized discharge to community rate
- 71.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.47
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.16
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 805
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 809
- Denominator
- 813
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 812
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 220
- Number of health care workers
- 243
- Rate of COVID-19 vaccination
- 90.5