About the Facility
- CMS Certification Number (CCN)
- 05T100
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
2999 Health Center Drive
- Phone Number
- (858) 939-3152
Facility Medical Condition Statistics
- All other conditions
- 16
- Brain disease or condition (non-traumatic)
- 11
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 15
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 94
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
- 269
- Predicted number of infections (B)
- 0.733
- 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
- 189
- Denominator
- 190
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 160
- Average observed change score
- 11.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.2
- Denominator
- 161
- Average observed change score
- 28.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 69
- Denominator
- 161
- Facility rate
- 42.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 75
- Denominator
- 161
- Facility rate
- 46.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 190
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.017
- SIR 95% confidence interval - upper limit
- 1.683
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,607
- Predicted number of infections (B)
- 2.931
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.341
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 234
- Number of health care workers
- 299
- Rate of flu vaccination
- 78.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 1
- Number of eligible stays
- 98
- Unadjusted potentially preventable readmission rate
- 1.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.65
- Lower limit of the 95% confidence interval on the RSRR
- 5.97
- Upper limit of the 95% confidence interval on the RSRR
- 9.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 109
- Unadjusted potentially preventable readmission rate
- 10.09
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.17
- Lower limit of the 95% confidence interval on the RSRR
- 4.46
- Upper limit of the 95% confidence interval on the RSRR
- 7.99
- 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)
- 62
- Number of eligible stays
- 94
- Observed discharge to community rate
- 65.96
- Risk-standardized discharge to community rate
- 68.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.60
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.73
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 89
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 187
- Denominator
- 190
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 190
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 238
- Number of health care workers
- 239
- Rate of COVID-19 vaccination
- 99.6