About the Facility
- CMS Certification Number (CCN)
- 033039
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
13060 West Bell Road
- Phone Number
- (623) 499-9100
Facility Medical Condition Statistics
- All other conditions
- 52
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- 35
- Hip or femur fracture
- 49
- Hip or knee replacement, amputation or other bone or joint condition
- 103
- Nervous system disorder (excluding stroke)
- 232
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 127
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.256
- SIR 95% confidence interval - upper limit
- 5.040
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,102
- Predicted number of infections (B)
- 1.311
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.526
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 623
- Denominator
- 623
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 519
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.7
- Denominator
- 519
- Average observed change score
- 26.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 306
- Denominator
- 519
- Facility rate
- 59.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 228
- Denominator
- 519
- Facility rate
- 43.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 623
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.232
- SIR 95% confidence interval - upper limit
- 2.486
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,892
- Predicted number of infections (B)
- 3.285
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.913
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 112
- Number of health care workers
- 190
- Rate of flu vaccination
- 58.9
- 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
- 457
- Unadjusted potentially preventable readmission rate
- 8.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.92
- Lower limit of the 95% confidence interval on the RSRR
- 7.32
- Upper limit of the 95% confidence interval on the RSRR
- 10.94
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 33
- Number of eligible stays
- 524
- Unadjusted potentially preventable readmission rate
- 6.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.95
- Lower limit of the 95% confidence interval on the RSRR
- 4.55
- Upper limit of the 95% confidence interval on the RSRR
- 7.92
- 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)
- 237
- Number of eligible stays
- 403
- Observed discharge to community rate
- 58.81
- Risk-standardized discharge to community rate
- 59.73
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.42
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.60
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 514
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 598
- Denominator
- 623
- Facility rate
- 96.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 622
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 149
- Number of health care workers
- 201
- Rate of COVID-19 vaccination
- 74.1