About the Facility
- CMS Certification Number (CCN)
- 05T168
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
101 E. Valencia Mesa Drive
P.o. Box 4138
- Phone Number
- (714) 578-8706
Facility Medical Condition Statistics
- All other conditions
- 21
- Brain disease or condition (non-traumatic)
- 54
- Brain injury (traumatic)
- 44
- Hip or femur fracture
- 33
- Hip or knee replacement, amputation or other bone or joint condition
- 46
- Nervous system disorder (excluding stroke)
- 125
- Spinal cord disease or condition (non-traumatic)
- 50
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 131
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.046
- SIR 95% confidence interval - upper limit
- 4.504
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 402
- Predicted number of infections (B)
- 1.095
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.913
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 450
- Denominator
- 453
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.1
- Denominator
- 415
- Average observed change score
- 10.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.3
- Denominator
- 415
- Average observed change score
- 26.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 122
- Denominator
- 415
- Facility rate
- 29.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 127
- Denominator
- 415
- Facility rate
- 30.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 453
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.106
- SIR 95% confidence interval - upper limit
- 2.091
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,203
- Predicted number of infections (B)
- 3.161
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.633
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 44
- Number of health care workers
- 68
- Rate of flu vaccination
- 64.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 353
- Unadjusted potentially preventable readmission rate
- 6.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.52
- Lower limit of the 95% confidence interval on the RSRR
- 6.73
- Upper limit of the 95% confidence interval on the RSRR
- 10.87
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 369
- Unadjusted potentially preventable readmission rate
- 2.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.86
- Lower limit of the 95% confidence interval on the RSRR
- 2.74
- Upper limit of the 95% confidence interval on the RSRR
- 5.71
- 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)
- 236
- Number of eligible stays
- 307
- Observed discharge to community rate
- 76.87
- Risk-standardized discharge to community rate
- 75.18
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.66
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.26
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 346
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 452
- Denominator
- 453
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 452
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 63
- Number of health care workers
- 68
- Rate of COVID-19 vaccination
- 92.6