About the Facility
- CMS Certification Number (CCN)
- 033034
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
901 West 24th Street
- Phone Number
- (928) 726-5000
Facility Medical Condition Statistics
- All other conditions
- 48
- Brain disease or condition (non-traumatic)
- 122
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 147
- Hip or knee replacement, amputation or other bone or joint condition
- 213
- Nervous system disorder (excluding stroke)
- 391
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- 12
- Stroke
- 138
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 922
- Predicted number of infections (B)
- 0.996
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,049
- Denominator
- 1,050
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.1
- Denominator
- 907
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 908
- Average observed change score
- 36.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 643
- Denominator
- 908
- Facility rate
- 70.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 708
- Denominator
- 908
- Facility rate
- 78.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,050
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.142
- SIR 95% confidence interval - upper limit
- 1.520
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,548
- Predicted number of infections (B)
- 5.370
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.559
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 270
- Number of health care workers
- 315
- Rate of flu vaccination
- 85.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 68
- Number of eligible stays
- 879
- Unadjusted potentially preventable readmission rate
- 7.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.65
- Lower limit of the 95% confidence interval on the RSRR
- 7.31
- Upper limit of the 95% confidence interval on the RSRR
- 10.37
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 56
- Number of eligible stays
- 963
- Unadjusted potentially preventable readmission rate
- 5.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.12
- Lower limit of the 95% confidence interval on the RSRR
- 5.60
- Upper limit of the 95% confidence interval on the RSRR
- 9.06
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 578
- Number of eligible stays
- 771
- Observed discharge to community rate
- 74.97
- Risk-standardized discharge to community rate
- 69.48
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.97
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 1,169
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,012
- Denominator
- 1,050
- Facility rate
- 96.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 1,047
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 176
- Number of health care workers
- 210
- Rate of COVID-19 vaccination
- 83.8