About the Facility
- CMS Certification Number (CCN)
- 05T008
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
P O Box 7999
- Phone Number
- (415) 600-6153
Facility Medical Condition Statistics
- All other conditions
- 12
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- 27
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- 54
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 157
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.048
- SIR 95% confidence interval - upper limit
- 4.720
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 383
- Predicted number of infections (B)
- 1.045
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.957
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 335
- Denominator
- 336
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 292
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.0
- Denominator
- 292
- Average observed change score
- 31.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 168
- Denominator
- 292
- Facility rate
- 57.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 168
- Denominator
- 292
- Facility rate
- 57.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 336
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.011
- SIR 95% confidence interval - upper limit
- 1.102
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,240
- Predicted number of infections (B)
- 4.474
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.224
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,144
- Number of health care workers
- 1,193
- Rate of flu vaccination
- 95.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 408
- Unadjusted potentially preventable readmission rate
- 4.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.21
- Lower limit of the 95% confidence interval on the RSRR
- 6.50
- Upper limit of the 95% confidence interval on the RSRR
- 10.23
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 426
- Unadjusted potentially preventable readmission rate
- 1.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.37
- Lower limit of the 95% confidence interval on the RSRR
- 2.31
- Upper limit of the 95% confidence interval on the RSRR
- 5.08
- 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)
- 281
- Number of eligible stays
- 356
- Observed discharge to community rate
- 78.93
- Risk-standardized discharge to community rate
- 75.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.65
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 380
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 277
- Denominator
- 336
- Facility rate
- 82.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 336
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 5,437
- Number of health care workers
- 5,524
- Rate of COVID-19 vaccination
- 98.4