About the Facility
- CMS Certification Number (CCN)
- 05T038
- Ownership Type
- Government
- CMS Region
- San Francisco
- Certification Date
- Address
751 S Bascom Ave
2325 Enborg Ln Suite 340
- Phone Number
- (408) 885-2030
Facility Medical Condition Statistics
- All other conditions
- 16
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 21
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- 26
- Stroke
- 128
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.636
- SIR 95% confidence interval - upper limit
- 3.263
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,404
- Predicted number of infections (B)
- 3.825
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.569
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 297
- Denominator
- 299
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 267
- Average observed change score
- 11.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.2
- Denominator
- 267
- Average observed change score
- 25.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 127
- Denominator
- 267
- Facility rate
- 47.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 104
- Denominator
- 267
- Facility rate
- 39.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 299
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.090
- SIR 95% confidence interval - upper limit
- 0.961
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 16,469
- Predicted number of infections (B)
- 8.498
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.353
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 143
- Number of health care workers
- 248
- Rate of flu vaccination
- 57.7
- 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
- 259
- Unadjusted potentially preventable readmission rate
- 3.09
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.64
- Lower limit of the 95% confidence interval on the RSRR
- 5.94
- Upper limit of the 95% confidence interval on the RSRR
- 9.77
- 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
- 271
- Unadjusted potentially preventable readmission rate
- 1.85
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.77
- Lower limit of the 95% confidence interval on the RSRR
- 2.49
- Upper limit of the 95% confidence interval on the RSRR
- 5.20
- 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)
- 190
- Number of eligible stays
- 225
- Observed discharge to community rate
- 84.44
- Risk-standardized discharge to community rate
- 82.65
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.04
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 86.99
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.21
- Number of eligible episodes
- 251
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 296
- Denominator
- 299
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 299
- 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
- 196
- Number of health care workers
- 227
- Rate of COVID-19 vaccination
- 86.3