St Johns Regional Medical Center


About the Facility

CMS Certification Number (CCN)
05T082
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
1600 North Rose Avenue
Phone Number
(805) 988-2658

Facility Medical Condition Statistics

All other conditions
63
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
30
Hip or femur fracture
65
Hip or knee replacement, amputation or other bone or joint condition
26
Nervous system disorder (excluding stroke)
12
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
135

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.027
SIR 95% confidence interval - upper limit
2.633
Comparative performance category
No Different than the National Benchmark
Catheter days
688
Predicted number of infections (B)
1.873
Number of infections reported (A)
1
SIR (A/B)
0.534
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
355
Denominator
355
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.9
Denominator
303
Average observed change score
9.9
Change in patients ability to move around
Average risk-adjusted change score
21.5
Denominator
303
Average observed change score
22.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
108
Denominator
303
Facility rate
35.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
70
Denominator
303
Facility rate
23.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
355
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
1.018
Comparative performance category
No Different than the National Benchmark
Patient days
6,500
Predicted number of infections (B)
2.943
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
895
Number of health care workers
1,045
Rate of flu vaccination
85.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
402
Unadjusted potentially preventable readmission rate
4.73
Risk-standardized potentially preventable readmission rate (RSRR)
7.67
Lower limit of the 95% confidence interval on the RSRR
6.07
Upper limit of the 95% confidence interval on the RSRR
9.53
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
16
Number of eligible stays
442
Unadjusted potentially preventable readmission rate
3.62
Risk-standardized potentially preventable readmission rate (RSRR)
4.46
Lower limit of the 95% confidence interval on the RSRR
3.22
Upper limit of the 95% confidence interval on the RSRR
6.03
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)
248
Number of eligible stays
344
Observed discharge to community rate
72.09
Risk-standardized discharge to community rate
71.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.14
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.33
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
401
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
355
Denominator
355
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
355
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
1,164
Number of health care workers
1,169
Rate of COVID-19 vaccination
99.6