About the Facility
- CMS Certification Number (CCN)
- 05T135
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
3828 Delmas Terrace
- Phone Number
- (310) 202-4777
Facility Medical Condition Statistics
- All other conditions
- 65
- Brain disease or condition (non-traumatic)
- 54
- 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
- 32
- Nervous system disorder (excluding stroke)
- 38
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 21
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
- 1.912
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 758
- Predicted number of infections (B)
- 1.567
- 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
- 243
- Denominator
- 243
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.3
- Denominator
- 194
- Average observed change score
- 9.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 21.9
- Denominator
- 194
- Average observed change score
- 21.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 83
- Denominator
- 194
- Facility rate
- 42.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 62
- Denominator
- 194
- Facility rate
- 32.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 243
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.263
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,059
- Predicted number of infections (B)
- 2.372
- 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
- 66
- Number of health care workers
- 71
- Rate of flu vaccination
- 93.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 30
- Number of eligible stays
- 278
- Unadjusted potentially preventable readmission rate
- 10.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.63
- Lower limit of the 95% confidence interval on the RSRR
- 6.99
- Upper limit of the 95% confidence interval on the RSRR
- 10.58
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 35
- Number of eligible stays
- 339
- Unadjusted potentially preventable readmission rate
- 10.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.90
- Lower limit of the 95% confidence interval on the RSRR
- 5.50
- Upper limit of the 95% confidence interval on the RSRR
- 10.01
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 126
- Number of eligible stays
- 262
- Observed discharge to community rate
- 48.09
- Risk-standardized discharge to community rate
- 53.12
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 47.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.77
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.16
- Number of eligible episodes
- 291
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 239
- Denominator
- 243
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 242
- Facility observed rate
- 5.4
- Facility risk-adjusted rate
- 6.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 68
- Number of health care workers
- 69
- Rate of COVID-19 vaccination
- 98.6