About the Facility
- CMS Certification Number (CCN)
- 05T169
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
12401 Washington Blvd
- Phone Number
- (562) 698-0811
Facility Medical Condition Statistics
- All other conditions
- 69
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- 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
- 11
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 64
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.207
- SIR 95% confidence interval - upper limit
- 4.081
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 595
- Predicted number of infections (B)
- 1.619
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.235
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 195
- Denominator
- 196
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 154
- Average observed change score
- 8.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.5
- Denominator
- 154
- Average observed change score
- 27.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 41
- Denominator
- 154
- Facility rate
- 26.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 78
- Denominator
- 154
- Facility rate
- 50.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 196
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.360
- SIR 95% confidence interval - upper limit
- 3.847
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,113
- Predicted number of infections (B)
- 2.122
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.414
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 40
- Rate of flu vaccination
- 80.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 146
- Unadjusted potentially preventable readmission rate
- 12.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.53
- Lower limit of the 95% confidence interval on the RSRR
- 7.48
- Upper limit of the 95% confidence interval on the RSRR
- 12.10
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 161
- Unadjusted potentially preventable readmission rate
- 3.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.30
- Lower limit of the 95% confidence interval on the RSRR
- 2.77
- Upper limit of the 95% confidence interval on the RSRR
- 6.81
- 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)
- 66
- Number of eligible stays
- 123
- Observed discharge to community rate
- 53.66
- Risk-standardized discharge to community rate
- 61.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.06
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.25
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 120
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 176
- Denominator
- 196
- Facility rate
- 89.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 195
- Facility observed rate
- 3.6
- Facility risk-adjusted rate
- 3.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 36
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 94.7