John Muir Medical Center


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