About the Facility
- CMS Certification Number (CCN)
- 05T126
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
15107 Vanowen Street
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 44
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 38
- 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
- 22
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
- 153
- Predicted number of infections (B)
- 0.290
- 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
- 220
- Denominator
- 220
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 196
- Average observed change score
- 15.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.3
- Denominator
- 196
- Average observed change score
- 37.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 119
- Denominator
- 196
- Facility rate
- 60.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 120
- Denominator
- 196
- Facility rate
- 61.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 220
- 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
- 1.248
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,972
- Predicted number of infections (B)
- 2.401
- 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
- 393
- Number of health care workers
- 427
- Rate of flu vaccination
- 92.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 253
- Unadjusted potentially preventable readmission rate
- 7.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.37
- Lower limit of the 95% confidence interval on the RSRR
- 6.69
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 284
- Unadjusted potentially preventable readmission rate
- 4.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.79
- Lower limit of the 95% confidence interval on the RSRR
- 3.43
- Upper limit of the 95% confidence interval on the RSRR
- 6.78
- 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)
- 159
- Number of eligible stays
- 216
- Observed discharge to community rate
- 73.61
- Risk-standardized discharge to community rate
- 71.32
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.38
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.25
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 264
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 218
- Denominator
- 220
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 219
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 14
- Number of health care workers
- 23
- Rate of COVID-19 vaccination
- 60.9