About the Facility
- CMS Certification Number (CCN)
- 05T224
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1 Hoag Drive
- Phone Number
- (949) 764-3900
Facility Medical Condition Statistics
- All other conditions
- 71
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 89
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 89
- Spinal cord disease or condition (non-traumatic)
- 61
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 75
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
- 265
- Predicted number of infections (B)
- 0.548
- 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
- 465
- Denominator
- 465
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 412
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.5
- Denominator
- 412
- Average observed change score
- 33.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 229
- Denominator
- 412
- Facility rate
- 55.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 216
- Denominator
- 412
- Facility rate
- 52.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 465
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.017
- SIR 95% confidence interval - upper limit
- 1.683
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,247
- Predicted number of infections (B)
- 2.930
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.341
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,153
- Number of health care workers
- 1,343
- Rate of flu vaccination
- 85.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 43
- Number of eligible stays
- 548
- Unadjusted potentially preventable readmission rate
- 7.85
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.74
- Lower limit of the 95% confidence interval on the RSRR
- 7.74
- Upper limit of the 95% confidence interval on the RSRR
- 11.93
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 592
- Unadjusted potentially preventable readmission rate
- 4.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.99
- Lower limit of the 95% confidence interval on the RSRR
- 3.84
- Upper limit of the 95% confidence interval on the RSRR
- 6.50
- 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)
- 378
- Number of eligible stays
- 475
- Observed discharge to community rate
- 79.58
- Risk-standardized discharge to community rate
- 74.21
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.41
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 507
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 457
- Denominator
- 465
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 465
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,512
- Number of health care workers
- 1,564
- Rate of COVID-19 vaccination
- 96.7