About the Facility
- CMS Certification Number (CCN)
- 05T058
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1420 S. Central Ave
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 91
- Brain disease or condition (non-traumatic)
- 47
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 47
- Hip or knee replacement, amputation or other bone or joint condition
- 37
- Nervous system disorder (excluding stroke)
- 77
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 28
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
- 121
- Predicted number of infections (B)
- 0.175
- 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
- 339
- Denominator
- 340
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 300
- Average observed change score
- 14.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.4
- Denominator
- 300
- Average observed change score
- 36.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 204
- Denominator
- 300
- Facility rate
- 68.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 198
- Denominator
- 300
- Facility rate
- 66.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 340
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.047
- SIR 95% confidence interval - upper limit
- 4.630
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,279
- Predicted number of infections (B)
- 1.065
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.939
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 21
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 398
- Unadjusted potentially preventable readmission rate
- 9.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.43
- Lower limit of the 95% confidence interval on the RSRR
- 6.98
- Upper limit of the 95% confidence interval on the RSRR
- 10.28
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 441
- Unadjusted potentially preventable readmission rate
- 5.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.41
- Lower limit of the 95% confidence interval on the RSRR
- 4.36
- Upper limit of the 95% confidence interval on the RSRR
- 7.41
- 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)
- 245
- Number of eligible stays
- 367
- Observed discharge to community rate
- 66.76
- Risk-standardized discharge to community rate
- 68.10
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.30
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.34
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 438
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 340
- Denominator
- 340
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 340
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 23
- Rate of COVID-19 vaccination
- 91.3