Kaweah Delta Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
05T057
Ownership Type
Government
CMS Region
San Francisco
Certification Date
Address
840 S. Akers Rd
Phone Number
(559) 624-3857

Facility Medical Condition Statistics

All other conditions
72
Brain disease or condition (non-traumatic)
13
Brain injury (traumatic)
28
Hip or femur fracture
62
Hip or knee replacement, amputation or other bone or joint condition
44
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
82

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
359
Predicted number of infections (B)
0.978
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
321
Denominator
321
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
288
Average observed change score
13.9
Change in patients ability to move around
Average risk-adjusted change score
29.9
Denominator
288
Average observed change score
32.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
172
Denominator
288
Facility rate
59.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
167
Denominator
288
Facility rate
58.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
321
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.159
SIR 95% confidence interval - upper limit
3.143
Comparative performance category
No Different than the National Benchmark
Patient days
6,624
Predicted number of infections (B)
2.103
Number of infections reported (A)
2
SIR (A/B)
0.951
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
118
Number of health care workers
218
Rate of flu vaccination
54.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
16
Number of eligible stays
271
Unadjusted potentially preventable readmission rate
5.90
Risk-standardized potentially preventable readmission rate (RSRR)
8.56
Lower limit of the 95% confidence interval on the RSRR
6.69
Upper limit of the 95% confidence interval on the RSRR
11.02
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
298
Unadjusted potentially preventable readmission rate
5.70
Risk-standardized potentially preventable readmission rate (RSRR)
5.79
Lower limit of the 95% confidence interval on the RSRR
3.96
Upper limit of the 95% confidence interval on the RSRR
8.23
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)
184
Number of eligible stays
258
Observed discharge to community rate
71.32
Risk-standardized discharge to community rate
69.79
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.02
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.11
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
250
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
320
Denominator
321
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
321
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
107
Number of health care workers
205
Rate of COVID-19 vaccination
52.2