San Joaquin Valley Rehabilitation Hosp


About the Facility

CMS Certification Number (CCN)
053032
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
7173 N Sharon Avenue
Phone Number
(559) 436-3600

Facility Medical Condition Statistics

All other conditions
166
Brain disease or condition (non-traumatic)
16
Brain injury (traumatic)
35
Hip or femur fracture
136
Hip or knee replacement, amputation or other bone or joint condition
312
Nervous system disorder (excluding stroke)
271
Spinal cord disease or condition (non-traumatic)
65
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
142

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
1.151
Comparative performance category
No Different than the National Benchmark
Catheter days
1,804
Predicted number of infections (B)
2.603
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
1,067
Denominator
1,072
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
10.3
Denominator
932
Average observed change score
13.3
Change in patients ability to move around
Average risk-adjusted change score
25.6
Denominator
932
Average observed change score
29.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
372
Denominator
932
Facility rate
39.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
363
Denominator
932
Facility rate
38.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,072
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.394
SIR 95% confidence interval - upper limit
2.382
Comparative performance category
No Different than the National Benchmark
Patient days
17,826
Predicted number of infections (B)
4.653
Number of infections reported (A)
5
SIR (A/B)
1.075
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
282
Number of health care workers
366
Rate of flu vaccination
77.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
87
Number of eligible stays
1,231
Unadjusted potentially preventable readmission rate
7.07
Risk-standardized potentially preventable readmission rate (RSRR)
7.83
Lower limit of the 95% confidence interval on the RSRR
6.70
Upper limit of the 95% confidence interval on the RSRR
9.15
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
84
Number of eligible stays
1,392
Unadjusted potentially preventable readmission rate
6.03
Risk-standardized potentially preventable readmission rate (RSRR)
5.79
Lower limit of the 95% confidence interval on the RSRR
4.79
Upper limit of the 95% confidence interval on the RSRR
6.79
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)
805
Number of eligible stays
1,173
Observed discharge to community rate
68.63
Risk-standardized discharge to community rate
70.70
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.09
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.14
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
1,300
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
768
Denominator
1,072
Facility rate
71.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
1,071
Facility observed rate
0.8
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
272
Number of health care workers
353
Rate of COVID-19 vaccination
77.1