Grossmont Hospital Sharp


About the Facility

CMS Certification Number (CCN)
05T026
Ownership Type
Government
CMS Region
San Francisco
Certification Date
Address
5555 Grossmont Center Drive
Phone Number
(858) 939-3152

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
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
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
64

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
166
Predicted number of infections (B)
0.453
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
98
Denominator
99
Facility rate
99.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
74
Average observed change score
12.2
Change in patients ability to move around
Average risk-adjusted change score
27.0
Denominator
74
Average observed change score
27.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
36
Denominator
74
Facility rate
48.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
29
Denominator
74
Facility rate
39.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
99
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
2,539
Predicted number of infections (B)
0.978
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
159
Number of health care workers
196
Rate of flu vaccination
81.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
8
Number of eligible stays
136
Unadjusted potentially preventable readmission rate
5.88
Risk-standardized potentially preventable readmission rate (RSRR)
8.35
Lower limit of the 95% confidence interval on the RSRR
6.49
Upper limit of the 95% confidence interval on the RSRR
10.81
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
4
Number of eligible stays
150
Unadjusted potentially preventable readmission rate
2.67
Risk-standardized potentially preventable readmission rate (RSRR)
4.21
Lower limit of the 95% confidence interval on the RSRR
2.85
Upper limit of the 95% confidence interval on the RSRR
5.95
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)
96
Number of eligible stays
127
Observed discharge to community rate
75.59
Risk-standardized discharge to community rate
79.20
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.74
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
85.42
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.20
Number of eligible episodes
138
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
98
Denominator
99
Facility rate
99.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
99
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
164
Number of health care workers
168
Rate of COVID-19 vaccination
97.6