About the Facility
- CMS Certification Number (CCN)
- 05T078
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1300 W. Seventh Street
- Phone Number
- (310) 514-5402
Facility Medical Condition Statistics
- All other conditions
- 21
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 14
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 115
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
- 278
- Predicted number of infections (B)
- 0.758
- 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
- 229
- Denominator
- 229
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 206
- Average observed change score
- 14.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.7
- Denominator
- 207
- Average observed change score
- 33.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 157
- Denominator
- 207
- Facility rate
- 75.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 120
- Denominator
- 207
- Facility rate
- 58.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 229
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.151
- SIR 95% confidence interval - upper limit
- 2.981
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,754
- Predicted number of infections (B)
- 2.217
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.902
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 42
- Number of health care workers
- 68
- Rate of flu vaccination
- 61.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 5
- Number of eligible stays
- 188
- Unadjusted potentially preventable readmission rate
- 2.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.43
- Lower limit of the 95% confidence interval on the RSRR
- 5.73
- Upper limit of the 95% confidence interval on the RSRR
- 9.63
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 207
- Unadjusted potentially preventable readmission rate
- 6.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.52
- Lower limit of the 95% confidence interval on the RSRR
- 3.73
- Upper limit of the 95% confidence interval on the RSRR
- 7.96
- 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)
- 135
- Number of eligible stays
- 167
- Observed discharge to community rate
- 80.84
- Risk-standardized discharge to community rate
- 79.97
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.96
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 85.01
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.87
- Number of eligible episodes
- 184
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 229
- Denominator
- 229
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 229
- 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
- 43
- Number of health care workers
- 44
- Rate of COVID-19 vaccination
- 97.7