About the Facility
- CMS Certification Number (CCN)
- 05T180
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1601 Ygnacio Valley Road
- Phone Number
- (925) 947-5252
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 68
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 144
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
- 351
- Predicted number of infections (B)
- 0.956
- 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
- 300
- Denominator
- 303
- Facility rate
- 99.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 255
- Average observed change score
- 11.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.5
- Denominator
- 255
- Average observed change score
- 28.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 119
- Denominator
- 255
- Facility rate
- 46.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 104
- Denominator
- 255
- Facility rate
- 40.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 303
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.113
- SIR 95% confidence interval - upper limit
- 2.236
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,726
- Predicted number of infections (B)
- 2.955
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.677
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 36
- Number of health care workers
- 61
- Rate of flu vaccination
- 59.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 363
- Unadjusted potentially preventable readmission rate
- 4.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.98
- Lower limit of the 95% confidence interval on the RSRR
- 6.18
- Upper limit of the 95% confidence interval on the RSRR
- 10.08
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 398
- Unadjusted potentially preventable readmission rate
- 4.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.05
- Lower limit of the 95% confidence interval on the RSRR
- 3.61
- Upper limit of the 95% confidence interval on the RSRR
- 6.84
- 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)
- 264
- Number of eligible stays
- 324
- Observed discharge to community rate
- 81.48
- Risk-standardized discharge to community rate
- 76.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.85
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 358
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 300
- Denominator
- 303
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 302
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 60
- Number of health care workers
- 62
- Rate of COVID-19 vaccination
- 96.8