Dignity Health East Valley Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
033040
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
1515 West Chandler Boulevard
Phone Number
(602) 594-5400

Facility Medical Condition Statistics

All other conditions
237
Brain disease or condition (non-traumatic)
115
Brain injury (traumatic)
79
Hip or femur fracture
193
Hip or knee replacement, amputation or other bone or joint condition
224
Nervous system disorder (excluding stroke)
95
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
218

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.168
SIR 95% confidence interval - upper limit
3.307
Comparative performance category
No Different than the National Benchmark
Catheter days
1,849
Predicted number of infections (B)
1.998
Number of infections reported (A)
2
SIR (A/B)
1.001
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,153
Denominator
1,154
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
15.0
Denominator
1,012
Average observed change score
16.8
Change in patients ability to move around
Average risk-adjusted change score
36.2
Denominator
1,012
Average observed change score
36.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
775
Denominator
1,012
Facility rate
76.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
756
Denominator
1,012
Facility rate
74.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,154
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.009
SIR 95% confidence interval - upper limit
0.915
Comparative performance category
Better than the National Benchmark
Patient days
16,890
Predicted number of infections (B)
5.392
Number of infections reported (A)
1
SIR (A/B)
0.185
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
326
Number of health care workers
378
Rate of flu vaccination
86.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
85
Number of eligible stays
1,368
Unadjusted potentially preventable readmission rate
6.21
Risk-standardized potentially preventable readmission rate (RSRR)
7.40
Lower limit of the 95% confidence interval on the RSRR
6.28
Upper limit of the 95% confidence interval on the RSRR
8.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
58
Number of eligible stays
1,498
Unadjusted potentially preventable readmission rate
3.87
Risk-standardized potentially preventable readmission rate (RSRR)
4.35
Lower limit of the 95% confidence interval on the RSRR
3.58
Upper limit of the 95% confidence interval on the RSRR
5.47
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)
891
Number of eligible stays
1,205
Observed discharge to community rate
73.94
Risk-standardized discharge to community rate
72.80
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.48
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.08
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
1,454
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,142
Denominator
1,154
Facility rate
99.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
26
Denominator
1,149
Facility observed rate
2.3
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
297
Number of health care workers
321
Rate of COVID-19 vaccination
92.5