About the Facility
- CMS Certification Number (CCN)
- 033043
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1675 East Villa Street
- Phone Number
- (469) 640-6503
Facility Medical Condition Statistics
- All other conditions
- 72
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 22
- Hip or knee replacement, amputation or other bone or joint condition
- 77
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 54
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
- 896
- Predicted number of infections (B)
- 0.967
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 335
- Denominator
- 336
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 285
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.2
- Denominator
- 285
- Average observed change score
- 29.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 138
- Denominator
- 285
- Facility rate
- 48.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 152
- Denominator
- 285
- Facility rate
- 53.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 336
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.298
- SIR 95% confidence interval - upper limit
- 3.185
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,495
- Predicted number of infections (B)
- 2.564
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.170
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 101
- Number of health care workers
- 205
- Rate of flu vaccination
- 49.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 6
- Number of eligible stays
- 81
- Unadjusted potentially preventable readmission rate
- 7.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.56
- Lower limit of the 95% confidence interval on the RSRR
- 6.57
- Upper limit of the 95% confidence interval on the RSRR
- 11.07
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 88
- Unadjusted potentially preventable readmission rate
- 3.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 2.84
- Upper limit of the 95% confidence interval on the RSRR
- 7.07
- 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)
- 51
- Number of eligible stays
- 85
- Observed discharge to community rate
- 60.00
- Risk-standardized discharge to community rate
- 62.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.95
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 81
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 336
- Denominator
- 336
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 334
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 137
- Number of health care workers
- 161
- Rate of COVID-19 vaccination
- 85.1