About the Facility
- CMS Certification Number (CCN)
- 05T235
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
501 S Buena Vista St
- Phone Number
- (818) 847-3200
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 50
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 70
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
- 0
- Predicted number of infections (B)
- Not Available
- Number of infections reported (A)
- Not Available
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 168
- Denominator
- 168
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 7.3
- Denominator
- 153
- Average observed change score
- 7.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 21.7
- Denominator
- 153
- Average observed change score
- 22.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 23
- Denominator
- 153
- Facility rate
- 15.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 33
- Denominator
- 153
- Facility rate
- 21.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 168
- Facility rate
- 1.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 0
- Predicted number of infections (B)
- Not Available
- Number of infections reported (A)
- Not Available
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 231
- Number of health care workers
- 247
- Rate of flu vaccination
- 93.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 279
- Unadjusted potentially preventable readmission rate
- 10.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.67
- Lower limit of the 95% confidence interval on the RSRR
- 8.49
- Upper limit of the 95% confidence interval on the RSRR
- 13.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 291
- Unadjusted potentially preventable readmission rate
- 1.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.60
- Lower limit of the 95% confidence interval on the RSRR
- 2.45
- Upper limit of the 95% confidence interval on the RSRR
- 5.32
- 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)
- 170
- Number of eligible stays
- 243
- Observed discharge to community rate
- 69.96
- Risk-standardized discharge to community rate
- 67.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.52
- 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
- 259
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 166
- Denominator
- 168
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 168
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 202
- Number of health care workers
- 202
- Rate of COVID-19 vaccination
- 100.0