Encompass Health Rehabilitaton Hospital of Bakers


About the Facility

CMS Certification Number (CCN)
053031
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
5001 Commerce Drive
Phone Number
(661) 323-5500

Facility Medical Condition Statistics

All other conditions
379
Brain disease or condition (non-traumatic)
105
Brain injury (traumatic)
45
Hip or femur fracture
183
Hip or knee replacement, amputation or other bone or joint condition
197
Nervous system disorder (excluding stroke)
85
Spinal cord disease or condition (non-traumatic)
19
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
229

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
1.404
Comparative performance category
No Different than the National Benchmark
Catheter days
1,976
Predicted number of infections (B)
2.134
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
1,202
Denominator
1,203
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
15.7
Denominator
1,031
Average observed change score
16.9
Change in patients ability to move around
Average risk-adjusted change score
33.8
Denominator
1,031
Average observed change score
33.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
847
Denominator
1,031
Facility rate
82.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
690
Denominator
1,031
Facility rate
66.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,203
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.329
Comparative performance category
Better than the National Benchmark
Patient days
22,634
Predicted number of infections (B)
9.108
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
343
Number of health care workers
499
Rate of flu vaccination
68.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
124
Number of eligible stays
1,231
Unadjusted potentially preventable readmission rate
10.07
Risk-standardized potentially preventable readmission rate (RSRR)
9.86
Lower limit of the 95% confidence interval on the RSRR
8.45
Upper limit of the 95% confidence interval on the RSRR
11.45
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
57
Number of eligible stays
1,355
Unadjusted potentially preventable readmission rate
4.21
Risk-standardized potentially preventable readmission rate (RSRR)
4.54
Lower limit of the 95% confidence interval on the RSRR
3.65
Upper limit of the 95% confidence interval on the RSRR
5.71
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)
733
Number of eligible stays
1,062
Observed discharge to community rate
69.02
Risk-standardized discharge to community rate
69.00
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.24
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.53
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
1,290
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,180
Denominator
1,203
Facility rate
98.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
1,199
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
360
Number of health care workers
413
Rate of COVID-19 vaccination
87.2