About the Facility
- CMS Certification Number (CCN)
- 05T060
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
2823 Fresno St
- Phone Number
- (559) 459-6405
Facility Medical Condition Statistics
- All other conditions
- 58
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 43
- Hip or femur fracture
- 32
- Hip or knee replacement, amputation or other bone or joint condition
- 63
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 107
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.442
- SIR 95% confidence interval - upper limit
- 4.725
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 634
- Predicted number of infections (B)
- 1.728
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.736
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 365
- Denominator
- 365
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 7.8
- Denominator
- 312
- Average observed change score
- 9.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.6
- Denominator
- 312
- Average observed change score
- 26.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 50
- Denominator
- 312
- Facility rate
- 16.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 90
- Denominator
- 312
- Facility rate
- 28.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 365
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.013
- SIR 95% confidence interval - upper limit
- 1.280
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,000
- Predicted number of infections (B)
- 3.853
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.260
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 114
- Number of health care workers
- 132
- Rate of flu vaccination
- 86.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 356
- Unadjusted potentially preventable readmission rate
- 6.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.40
- Lower limit of the 95% confidence interval on the RSRR
- 6.69
- Upper limit of the 95% confidence interval on the RSRR
- 10.51
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 27
- Number of eligible stays
- 403
- Unadjusted potentially preventable readmission rate
- 6.70
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.84
- Lower limit of the 95% confidence interval on the RSRR
- 4.34
- Upper limit of the 95% confidence interval on the RSRR
- 7.63
- 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)
- 220
- Number of eligible stays
- 315
- Observed discharge to community rate
- 69.84
- Risk-standardized discharge to community rate
- 72.34
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.58
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.91
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 336
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 360
- Denominator
- 365
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 365
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 54
- Number of health care workers
- 66
- Rate of COVID-19 vaccination
- 81.8