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