About the Facility
- CMS Certification Number (CCN)
- 053034
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
15120 Kensington Park Dr
- Phone Number
- (714) 832-9200
Facility Medical Condition Statistics
- All other conditions
- 148
- Brain disease or condition (non-traumatic)
- 74
- Brain injury (traumatic)
- 59
- Hip or femur fracture
- 70
- Hip or knee replacement, amputation or other bone or joint condition
- 144
- Nervous system disorder (excluding stroke)
- 199
- Spinal cord disease or condition (non-traumatic)
- 65
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 244
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.576
- SIR 95% confidence interval - upper limit
- 4.370
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,083
- Predicted number of infections (B)
- 2.208
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.812
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,000
- Denominator
- 1,001
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 855
- Average observed change score
- 14.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.0
- Denominator
- 855
- Average observed change score
- 34.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 645
- Denominator
- 855
- Facility rate
- 75.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 590
- Denominator
- 855
- Facility rate
- 69.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,001
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.168
- SIR 95% confidence interval - upper limit
- 1.274
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,265
- Predicted number of infections (B)
- 7.573
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.528
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,566
- Number of health care workers
- 1,991
- Rate of flu vaccination
- 78.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 54
- Number of eligible stays
- 760
- Unadjusted potentially preventable readmission rate
- 7.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.97
- Lower limit of the 95% confidence interval on the RSRR
- 7.33
- Upper limit of the 95% confidence interval on the RSRR
- 10.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 55
- Number of eligible stays
- 870
- Unadjusted potentially preventable readmission rate
- 6.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.68
- Lower limit of the 95% confidence interval on the RSRR
- 5.50
- Upper limit of the 95% confidence interval on the RSRR
- 8.66
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 486
- Number of eligible stays
- 710
- Observed discharge to community rate
- 68.45
- Risk-standardized discharge to community rate
- 65.92
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.91
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.67
- 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
- 840
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 998
- Denominator
- 1,001
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 1,000
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 359
- Number of health care workers
- 421
- Rate of COVID-19 vaccination
- 85.3