About the Facility
- CMS Certification Number (CCN)
- 053037
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1760 West 16th St
- Phone Number
- (909) 473-1275
Facility Medical Condition Statistics
- All other conditions
- 79
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 62
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 114
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
- 1.058
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,388
- Predicted number of infections (B)
- 2.831
- 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
- 336
- Denominator
- 341
- Facility rate
- 98.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.4
- Denominator
- 276
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.7
- Denominator
- 276
- Average observed change score
- 28.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 95
- Denominator
- 276
- Facility rate
- 34.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 114
- Denominator
- 276
- Facility rate
- 41.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 340
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.358
- SIR 95% confidence interval - upper limit
- 2.165
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,168
- Predicted number of infections (B)
- 5.119
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.977
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 294
- Rate of flu vaccination
- 11.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 245
- Unadjusted potentially preventable readmission rate
- 9.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.06
- Lower limit of the 95% confidence interval on the RSRR
- 7.28
- Upper limit of the 95% confidence interval on the RSRR
- 11.52
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 268
- Unadjusted potentially preventable readmission rate
- 3.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.37
- Lower limit of the 95% confidence interval on the RSRR
- 3.03
- Upper limit of the 95% confidence interval on the RSRR
- 5.83
- 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)
- 126
- Number of eligible stays
- 210
- Observed discharge to community rate
- 60.00
- Risk-standardized discharge to community rate
- 65.85
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.94
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.60
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 254
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 308
- Denominator
- 341
- Facility rate
- 90.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 314
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 212
- Number of health care workers
- 248
- Rate of COVID-19 vaccination
- 85.5