About the Facility
- CMS Certification Number (CCN)
- 033041
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1851 North Gemini Drive
- Phone Number
- (928) 774-7070
Facility Medical Condition Statistics
- All other conditions
- 58
- Brain disease or condition (non-traumatic)
- 27
- Brain injury (traumatic)
- 45
- Hip or femur fracture
- 84
- Hip or knee replacement, amputation or other bone or joint condition
- 132
- Nervous system disorder (excluding stroke)
- 52
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 107
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
- 679
- Predicted number of infections (B)
- 0.955
- 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
- 517
- Denominator
- 517
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.8
- Denominator
- 462
- Average observed change score
- 19.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 47.7
- Denominator
- 462
- Average observed change score
- 50.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 426
- Denominator
- 462
- Facility rate
- 92.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 431
- Denominator
- 462
- Facility rate
- 93.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 517
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.716
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 10,528
- Predicted number of infections (B)
- 4.184
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 152
- Number of health care workers
- 205
- Rate of flu vaccination
- 74.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 410
- Unadjusted potentially preventable readmission rate
- 4.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.88
- Lower limit of the 95% confidence interval on the RSRR
- 6.25
- Upper limit of the 95% confidence interval on the RSRR
- 9.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 443
- Unadjusted potentially preventable readmission rate
- 3.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.73
- Lower limit of the 95% confidence interval on the RSRR
- 3.40
- Upper limit of the 95% confidence interval on the RSRR
- 6.55
- 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)
- 276
- Number of eligible stays
- 371
- Observed discharge to community rate
- 74.39
- Risk-standardized discharge to community rate
- 71.39
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.34
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.19
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 441
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 515
- Denominator
- 517
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 516
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 160
- Number of health care workers
- 170
- Rate of COVID-19 vaccination
- 94.1