About the Facility
- CMS Certification Number (CCN)
- 05T107
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1400 E Church Street
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- 33
- Brain injury (traumatic)
- 42
- Hip or femur fracture
- 68
- Hip or knee replacement, amputation or other bone or joint condition
- 32
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 149
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
- 273
- Predicted number of infections (B)
- 0.519
- 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
- 445
- Denominator
- 446
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 418
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.5
- Denominator
- 418
- Average observed change score
- 28.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 254
- Denominator
- 418
- Facility rate
- 60.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 183
- Denominator
- 418
- Facility rate
- 43.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 446
- 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
- 0.997
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 6,876
- Predicted number of infections (B)
- 3.006
- 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
- 46
- Number of health care workers
- 57
- Rate of flu vaccination
- 80.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 58
- Number of eligible stays
- 727
- Unadjusted potentially preventable readmission rate
- 7.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.44
- Lower limit of the 95% confidence interval on the RSRR
- 7.83
- Upper limit of the 95% confidence interval on the RSRR
- 11.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 764
- Unadjusted potentially preventable readmission rate
- 2.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.22
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- 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)
- 490
- Number of eligible stays
- 641
- Observed discharge to community rate
- 76.44
- Risk-standardized discharge to community rate
- 71.04
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.35
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.65
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.86
- Number of eligible episodes
- 671
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 446
- Denominator
- 446
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 446
- 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
- 540
- Number of health care workers
- 576
- Rate of COVID-19 vaccination
- 93.8