About the Facility
- CMS Certification Number (CCN)
- 053043
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
2181 West Citracado Parkway
- Phone Number
- (502) 596-6505
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- 65
- Brain injury (traumatic)
- 43
- Hip or femur fracture
- 104
- Hip or knee replacement, amputation or other bone or joint condition
- 112
- Nervous system disorder (excluding stroke)
- 59
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 137
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
- 577
- Predicted number of infections (B)
- 0.895
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 620
- Denominator
- 620
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 547
- Average observed change score
- 15.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.5
- Denominator
- 547
- Average observed change score
- 36.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 450
- Denominator
- 547
- Facility rate
- 82.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 451
- Denominator
- 547
- Facility rate
- 82.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 620
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.649
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 9,148
- Predicted number of infections (B)
- 4.616
- 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
- 179
- Number of health care workers
- 219
- Rate of flu vaccination
- 81.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 22
- Number of eligible stays
- 380
- Unadjusted potentially preventable readmission rate
- 5.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.28
- Lower limit of the 95% confidence interval on the RSRR
- 6.68
- Upper limit of the 95% confidence interval on the RSRR
- 10.25
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 17
- Number of eligible stays
- 412
- Unadjusted potentially preventable readmission rate
- 4.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.99
- Lower limit of the 95% confidence interval on the RSRR
- 3.70
- Upper limit of the 95% confidence interval on the RSRR
- 7.13
- 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)
- 282
- Number of eligible stays
- 387
- Observed discharge to community rate
- 72.87
- Risk-standardized discharge to community rate
- 69.16
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.23
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.80
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 405
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 617
- Denominator
- 620
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 620
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 158
- Number of health care workers
- 165
- Rate of COVID-19 vaccination
- 95.8