About the Facility
- CMS Certification Number (CCN)
- 03T114
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1551 E. Tangerine Rd.
- Phone Number
- (520) 901-6183
Facility Medical Condition Statistics
- All other conditions
- 109
- Brain disease or condition (non-traumatic)
- 32
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 85
- Hip or knee replacement, amputation or other bone or joint condition
- 68
- Nervous system disorder (excluding stroke)
- 34
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 90
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
- 2.505
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 578
- Predicted number of infections (B)
- 1.196
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 436
- Denominator
- 436
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 375
- Average observed change score
- 16.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.3
- Denominator
- 375
- Average observed change score
- 40.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 303
- Denominator
- 375
- Facility rate
- 80.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 322
- Denominator
- 375
- Facility rate
- 85.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 436
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.015
- SIR 95% confidence interval - upper limit
- 1.461
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,051
- Predicted number of infections (B)
- 3.375
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.296
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 37
- Number of health care workers
- 61
- Rate of flu vaccination
- 60.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 33
- Number of eligible stays
- 478
- Unadjusted potentially preventable readmission rate
- 6.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.59
- Lower limit of the 95% confidence interval on the RSRR
- 7.00
- Upper limit of the 95% confidence interval on the RSRR
- 10.68
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 509
- Unadjusted potentially preventable readmission rate
- 2.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.29
- Lower limit of the 95% confidence interval on the RSRR
- 3.34
- Upper limit of the 95% confidence interval on the RSRR
- 5.87
- 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)
- 325
- Number of eligible stays
- 440
- Observed discharge to community rate
- 73.86
- Risk-standardized discharge to community rate
- 68.54
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.31
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.98
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 482
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 432
- Denominator
- 436
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 436
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 93.3