About the Facility
- CMS Certification Number (CCN)
- 05T073
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
975 Sereno Dr.
- Phone Number
- (707) 651-4097
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 45
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 16
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- 51
- Spinal cord injury (traumatic)
- 19
- Stroke
- 347
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
- 177
- Predicted number of infections (B)
- 0.482
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 528
- Denominator
- 530
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.0
- Denominator
- 468
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.5
- Denominator
- 468
- Average observed change score
- 29.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 251
- Denominator
- 468
- Facility rate
- 53.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 237
- Denominator
- 468
- Facility rate
- 50.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 530
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.379
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 15,301
- Predicted number of infections (B)
- 7.895
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 189
- Number of health care workers
- 243
- Rate of flu vaccination
- 77.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 2
- Number of eligible stays
- 39
- Unadjusted potentially preventable readmission rate
- 5.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.46
- Lower limit of the 95% confidence interval on the RSRR
- 6.41
- Upper limit of the 95% confidence interval on the RSRR
- 11.12
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 43
- Unadjusted potentially preventable readmission rate
- 4.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.81
- Lower limit of the 95% confidence interval on the RSRR
- 2.61
- Upper limit of the 95% confidence interval on the RSRR
- 8.02
- 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)
- 30
- Number of eligible stays
- 34
- Observed discharge to community rate
- 88.24
- Risk-standardized discharge to community rate
- 83.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.67
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 94.43
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- Not Available
- Number of eligible episodes
- 11
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 527
- Denominator
- 530
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 529
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 165
- Number of health care workers
- 177
- Rate of COVID-19 vaccination
- 93.2