Encompass Health Valley of the Sun Rehab Hospital


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