About the Facility
- CMS Certification Number (CCN)
- 03T117
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
5330 S Highway 95
- Phone Number
- (928) 788-7005
Facility Medical Condition Statistics
- All other conditions
- 22
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 29
- Hip or knee replacement, amputation or other bone or joint condition
- 24
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 38
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
- 222
- Predicted number of infections (B)
- 0.504
- 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
- 101
- Denominator
- 101
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 84
- Average observed change score
- 13.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.1
- Denominator
- 85
- Average observed change score
- 30.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 49
- Denominator
- 85
- Facility rate
- 57.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 56
- Denominator
- 85
- Facility rate
- 65.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 101
- Facility rate
- 2.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,941
- Predicted number of infections (B)
- 0.621
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 10
- Number of health care workers
- 11
- Rate of flu vaccination
- 90.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 4
- Number of eligible stays
- 99
- Unadjusted potentially preventable readmission rate
- 4.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.40
- Lower limit of the 95% confidence interval on the RSRR
- 6.42
- Upper limit of the 95% confidence interval on the RSRR
- 10.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 112
- Unadjusted potentially preventable readmission rate
- 4.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.23
- Lower limit of the 95% confidence interval on the RSRR
- 3.61
- Upper limit of the 95% confidence interval on the RSRR
- 8.04
- 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)
- 71
- Number of eligible stays
- 86
- Observed discharge to community rate
- 82.56
- Risk-standardized discharge to community rate
- 71.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.28
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.80
- Number of eligible episodes
- 104
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 96
- Denominator
- 101
- Facility rate
- 95.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 101
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 13
- Number of health care workers
- 13
- Rate of COVID-19 vaccination
- 100.0