About the Facility
- CMS Certification Number (CCN)
- 05T116
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
18300 Roscoe Blvd.
- Phone Number
- (818) 885-8500
Facility Medical Condition Statistics
- All other conditions
- 34
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 35
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 74
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
- 2.554
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 430
- Predicted number of infections (B)
- 1.173
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 247
- Denominator
- 247
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.9
- Denominator
- 211
- Average observed change score
- 10.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.0
- Denominator
- 211
- Average observed change score
- 28.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 62
- Denominator
- 211
- Facility rate
- 29.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 91
- Denominator
- 211
- Facility rate
- 43.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 247
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.134
- SIR 95% confidence interval - upper limit
- 2.646
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,589
- Predicted number of infections (B)
- 2.497
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.801
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 99
- Number of health care workers
- 143
- Rate of flu vaccination
- 69.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 33
- Number of eligible stays
- 306
- Unadjusted potentially preventable readmission rate
- 10.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.74
- Lower limit of the 95% confidence interval on the RSRR
- 7.92
- Upper limit of the 95% confidence interval on the RSRR
- 12.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 349
- Unadjusted potentially preventable readmission rate
- 7.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.88
- Lower limit of the 95% confidence interval on the RSRR
- 4.61
- Upper limit of the 95% confidence interval on the RSRR
- 7.68
- 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)
- 179
- Number of eligible stays
- 282
- Observed discharge to community rate
- 63.48
- Risk-standardized discharge to community rate
- 67.91
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.67
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.27
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.20
- Number of eligible episodes
- 296
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 247
- Denominator
- 247
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 247
- 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
- 127
- Number of health care workers
- 127
- Rate of COVID-19 vaccination
- 100.0