St Joseph Hospital


About the Facility

CMS Certification Number (CCN)
05T006
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
2200 Harrison Avenue
Phone Number
(707) 445-8121

Facility Medical Condition Statistics

All other conditions
42
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
73
Hip or knee replacement, amputation or other bone or joint condition
36
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
-
Stroke
26

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
210
Predicted number of infections (B)
0.435
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
209
Denominator
211
Facility rate
99.1
Change in patients ability to care for themselves
Average risk-adjusted change score
11.2
Denominator
192
Average observed change score
11.3
Change in patients ability to move around
Average risk-adjusted change score
25.5
Denominator
192
Average observed change score
29.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
101
Denominator
192
Facility rate
52.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
79
Denominator
192
Facility rate
41.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
209
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
2,630
Predicted number of infections (B)
0.739
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
32
Number of health care workers
37
Rate of flu vaccination
86.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
26
Number of eligible stays
325
Unadjusted potentially preventable readmission rate
8.00
Risk-standardized potentially preventable readmission rate (RSRR)
9.13
Lower limit of the 95% confidence interval on the RSRR
7.29
Upper limit of the 95% confidence interval on the RSRR
11.44
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
13
Number of eligible stays
342
Unadjusted potentially preventable readmission rate
3.80
Risk-standardized potentially preventable readmission rate (RSRR)
4.97
Lower limit of the 95% confidence interval on the RSRR
3.66
Upper limit of the 95% confidence interval on the RSRR
7.40
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)
221
Number of eligible stays
271
Observed discharge to community rate
81.55
Risk-standardized discharge to community rate
73.77
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.74
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.25
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
308
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
202
Denominator
211
Facility rate
95.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
211
Facility observed rate
0.9
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
26
Number of health care workers
26
Rate of COVID-19 vaccination
100.0