Adventist Health - Glendale


About the Facility

CMS Certification Number (CCN)
05T239
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
1509 Wilson Terrace
Phone Number
(818) 409-8071

Facility Medical Condition Statistics

All other conditions
107
Brain disease or condition (non-traumatic)
36
Brain injury (traumatic)
17
Hip or femur fracture
45
Hip or knee replacement, amputation or other bone or joint condition
120
Nervous system disorder (excluding stroke)
15
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
-
Stroke
117

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
359
Predicted number of infections (B)
0.882
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
491
Denominator
491
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.0
Denominator
416
Average observed change score
10.9
Change in patients ability to move around
Average risk-adjusted change score
26.7
Denominator
416
Average observed change score
29.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
151
Denominator
416
Facility rate
36.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
172
Denominator
416
Facility rate
41.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
491
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.195
Comparative performance category
No Different than the National Benchmark
Patient days
6,673
Predicted number of infections (B)
2.506
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
227
Number of health care workers
241
Rate of flu vaccination
94.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
35
Number of eligible stays
576
Unadjusted potentially preventable readmission rate
6.08
Risk-standardized potentially preventable readmission rate (RSRR)
8.01
Lower limit of the 95% confidence interval on the RSRR
6.31
Upper limit of the 95% confidence interval on the RSRR
9.66
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
24
Number of eligible stays
632
Unadjusted potentially preventable readmission rate
3.80
Risk-standardized potentially preventable readmission rate (RSRR)
4.95
Lower limit of the 95% confidence interval on the RSRR
3.76
Upper limit of the 95% confidence interval on the RSRR
6.48
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)
331
Number of eligible stays
515
Observed discharge to community rate
64.27
Risk-standardized discharge to community rate
62.29
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.64
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.93
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.10
Number of eligible episodes
576
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
480
Denominator
491
Facility rate
97.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
490
Facility observed rate
0.2
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
241
Number of health care workers
241
Rate of COVID-19 vaccination
100.0