About the Facility
- CMS Certification Number (CCN)
- 05T174
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1165 Montgomery Dr.
- Phone Number
- (707) 547-5486
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 19
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 60
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
- 87
- Predicted number of infections (B)
- 0.235
- 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
- 160
- Denominator
- 160
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 142
- Average observed change score
- 11.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.3
- Denominator
- 142
- Average observed change score
- 25.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 51
- Denominator
- 142
- Facility rate
- 35.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 51
- Denominator
- 142
- Facility rate
- 35.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 160
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.039
- SIR 95% confidence interval - upper limit
- 3.878
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,301
- Predicted number of infections (B)
- 1.272
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.786
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 33
- Number of health care workers
- 51
- 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
- 10
- Number of eligible stays
- 221
- Unadjusted potentially preventable readmission rate
- 4.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.46
- Lower limit of the 95% confidence interval on the RSRR
- 6.59
- Upper limit of the 95% confidence interval on the RSRR
- 10.88
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 4
- Number of eligible stays
- 234
- Unadjusted potentially preventable readmission rate
- 1.71
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.13
- Lower limit of the 95% confidence interval on the RSRR
- 2.71
- Upper limit of the 95% confidence interval on the RSRR
- 5.84
- 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)
- 145
- Number of eligible stays
- 187
- Observed discharge to community rate
- 77.54
- Risk-standardized discharge to community rate
- 72.76
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.13
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.39
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 205
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 157
- Denominator
- 160
- Facility rate
- 98.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 160
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 32
- Rate of COVID-19 vaccination
- 100.0