About the Facility
- CMS Certification Number (CCN)
- 033042
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
12740 North Plaza Del Rio Boulevard
- Phone Number
- (717) 975-4503
Facility Medical Condition Statistics
- All other conditions
- 439
- Brain disease or condition (non-traumatic)
- 181
- Brain injury (traumatic)
- 156
- Hip or femur fracture
- 329
- Hip or knee replacement, amputation or other bone or joint condition
- 375
- Nervous system disorder (excluding stroke)
- 145
- Spinal cord disease or condition (non-traumatic)
- 136
- Spinal cord injury (traumatic)
- 18
- Stroke
- 810
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.499
- SIR 95% confidence interval - upper limit
- 2.255
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 3,012
- Predicted number of infections (B)
- 6.140
- Number of infections reported (A)
- 7
- SIR (A/B)
- 1.140
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 2,521
- Denominator
- 2,530
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 2,215
- Average observed change score
- 11.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 2,214
- Average observed change score
- 29.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,056
- Denominator
- 2,215
- Facility rate
- 47.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,129
- Denominator
- 2,215
- Facility rate
- 51.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 2,530
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.263
- SIR 95% confidence interval - upper limit
- 0.990
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 43,887
- Predicted number of infections (B)
- 16.683
- Number of infections reported (A)
- 9
- SIR (A/B)
- 0.539
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 756
- Number of health care workers
- 1,066
- Rate of flu vaccination
- 70.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 75
- Number of eligible stays
- 1,147
- Unadjusted potentially preventable readmission rate
- 6.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.15
- Lower limit of the 95% confidence interval on the RSRR
- 6.88
- Upper limit of the 95% confidence interval on the RSRR
- 9.52
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 1,241
- Unadjusted potentially preventable readmission rate
- 3.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.78
- Lower limit of the 95% confidence interval on the RSRR
- 3.04
- Upper limit of the 95% confidence interval on the RSRR
- 4.72
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 798
- Number of eligible stays
- 1,064
- Observed discharge to community rate
- 75.00
- Risk-standardized discharge to community rate
- 74.49
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.99
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.77
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 1,099
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 2,518
- Denominator
- 2,530
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 2,522
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 836
- Number of health care workers
- 984
- Rate of COVID-19 vaccination
- 85.0