About the Facility
- CMS Certification Number (CCN)
- 033038
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
8850 East Pima Center Parkway
- Phone Number
- (717) 975-4503
Facility Medical Condition Statistics
- All other conditions
- 193
- Brain disease or condition (non-traumatic)
- 68
- Brain injury (traumatic)
- 68
- Hip or femur fracture
- 136
- Hip or knee replacement, amputation or other bone or joint condition
- 127
- Nervous system disorder (excluding stroke)
- 67
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 227
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.282
- SIR 95% confidence interval - upper limit
- 5.567
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 874
- Predicted number of infections (B)
- 1.187
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.685
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 896
- Denominator
- 896
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.3
- Denominator
- 774
- Average observed change score
- 11.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.2
- Denominator
- 774
- Average observed change score
- 29.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 421
- Denominator
- 774
- Facility rate
- 54.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 432
- Denominator
- 774
- Facility rate
- 55.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 896
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.072
- SIR 95% confidence interval - upper limit
- 1.413
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 15,504
- Predicted number of infections (B)
- 4.676
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.428
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 220
- Number of health care workers
- 373
- Rate of flu vaccination
- 59.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 42
- Number of eligible stays
- 905
- Unadjusted potentially preventable readmission rate
- 4.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.24
- Lower limit of the 95% confidence interval on the RSRR
- 5.93
- Upper limit of the 95% confidence interval on the RSRR
- 8.72
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 64
- Number of eligible stays
- 1,012
- Unadjusted potentially preventable readmission rate
- 6.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.89
- Lower limit of the 95% confidence interval on the RSRR
- 5.67
- Upper limit of the 95% confidence interval on the RSRR
- 8.19
- 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)
- 588
- Number of eligible stays
- 829
- Observed discharge to community rate
- 70.93
- Risk-standardized discharge to community rate
- 67.24
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.25
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 890
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 890
- Denominator
- 896
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 896
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 308
- Number of health care workers
- 353
- Rate of COVID-19 vaccination
- 87.3