Santa Clara Valley Medical Center


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