About the Facility
- CMS Certification Number (CCN)
- 033032
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
13460 North 67th Avenue
- Phone Number
- (623) 878-8800
Facility Medical Condition Statistics
- All other conditions
- 114
- Brain disease or condition (non-traumatic)
- 65
- Brain injury (traumatic)
- 35
- Hip or femur fracture
- 78
- Hip or knee replacement, amputation or other bone or joint condition
- 109
- Nervous system disorder (excluding stroke)
- 75
- Spinal cord disease or condition (non-traumatic)
- 31
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 203
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.330
- SIR 95% confidence interval - upper limit
- 2.509
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,011
- Predicted number of infections (B)
- 3.846
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.040
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 680
- Denominator
- 682
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.3
- Denominator
- 580
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.7
- Denominator
- 580
- Average observed change score
- 35.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 459
- Denominator
- 580
- Facility rate
- 79.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 404
- Denominator
- 580
- Facility rate
- 69.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 682
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.707
- SIR 95% confidence interval - upper limit
- 3.196
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,516
- Predicted number of infections (B)
- 4.332
- Number of infections reported (A)
- 7
- SIR (A/B)
- 1.616
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 330
- Number of health care workers
- 422
- Rate of flu vaccination
- 78.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 37
- Number of eligible stays
- 535
- Unadjusted potentially preventable readmission rate
- 6.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.46
- Lower limit of the 95% confidence interval on the RSRR
- 6.80
- Upper limit of the 95% confidence interval on the RSRR
- 10.25
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 36
- Number of eligible stays
- 609
- Unadjusted potentially preventable readmission rate
- 5.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.93
- Lower limit of the 95% confidence interval on the RSRR
- 4.24
- Upper limit of the 95% confidence interval on the RSRR
- 7.88
- 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)
- 339
- Number of eligible stays
- 512
- Observed discharge to community rate
- 66.21
- Risk-standardized discharge to community rate
- 64.97
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.64
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 551
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 676
- Denominator
- 682
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 682
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 261
- Number of health care workers
- 293
- Rate of COVID-19 vaccination
- 89.1