About the Facility
- CMS Certification Number (CCN)
- 033036
- Ownership Type
- Government
- CMS Region
- San Francisco
- Certification Date
- Address
3700 North Windsong Drive
- Phone Number
- (928) 759-8800
Facility Medical Condition Statistics
- All other conditions
- 166
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 194
- Hip or knee replacement, amputation or other bone or joint condition
- 163
- Nervous system disorder (excluding stroke)
- 66
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 156
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
- 695
- Predicted number of infections (B)
- 0.751
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 767
- Denominator
- 768
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.9
- Denominator
- 672
- Average observed change score
- 20.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 42.4
- Denominator
- 672
- Average observed change score
- 45.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 554
- Denominator
- 672
- Facility rate
- 82.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 539
- Denominator
- 672
- Facility rate
- 80.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 768
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.151
- SIR 95% confidence interval - upper limit
- 1.619
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 12,434
- Predicted number of infections (B)
- 5.042
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.595
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 161
- Number of health care workers
- 212
- Rate of flu vaccination
- 75.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 786
- Unadjusted potentially preventable readmission rate
- 4.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.39
- Lower limit of the 95% confidence interval on the RSRR
- 6.06
- Upper limit of the 95% confidence interval on the RSRR
- 9.06
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 46
- Number of eligible stays
- 868
- Unadjusted potentially preventable readmission rate
- 5.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.63
- Lower limit of the 95% confidence interval on the RSRR
- 4.51
- Upper limit of the 95% confidence interval on the RSRR
- 7.04
- 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)
- 548
- Number of eligible stays
- 710
- Observed discharge to community rate
- 77.18
- Risk-standardized discharge to community rate
- 77.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.41
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 80.28
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 798
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 754
- Denominator
- 768
- Facility rate
- 98.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 767
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 159
- Number of health care workers
- 197
- Rate of COVID-19 vaccination
- 80.7