Dominican Hospital


About the Facility

CMS Certification Number (CCN)
05T242
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
1555 Soquel Drive
Phone Number
(831) 462-7300

Facility Medical Condition Statistics

All other conditions
30
Brain disease or condition (non-traumatic)
45
Brain injury (traumatic)
14
Hip or femur fracture
19
Hip or knee replacement, amputation or other bone or joint condition
19
Nervous system disorder (excluding stroke)
60
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
112

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
338
Predicted number of infections (B)
0.921
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
332
Denominator
332
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.9
Denominator
286
Average observed change score
10.5
Change in patients ability to move around
Average risk-adjusted change score
23.4
Denominator
286
Average observed change score
23.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
109
Denominator
286
Facility rate
38.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
94
Denominator
286
Facility rate
32.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
332
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.314
SIR 95% confidence interval - upper limit
3.355
Comparative performance category
No Different than the National Benchmark
Patient days
6,316
Predicted number of infections (B)
2.434
Number of infections reported (A)
3
SIR (A/B)
1.233
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
244
Number of health care workers
265
Rate of flu vaccination
92.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
28
Number of eligible stays
470
Unadjusted potentially preventable readmission rate
5.96
Risk-standardized potentially preventable readmission rate (RSRR)
7.67
Lower limit of the 95% confidence interval on the RSRR
6.16
Upper limit of the 95% confidence interval on the RSRR
9.57
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
22
Number of eligible stays
514
Unadjusted potentially preventable readmission rate
4.28
Risk-standardized potentially preventable readmission rate (RSRR)
4.47
Lower limit of the 95% confidence interval on the RSRR
3.34
Upper limit of the 95% confidence interval on the RSRR
6.21
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)
292
Number of eligible stays
396
Observed discharge to community rate
73.74
Risk-standardized discharge to community rate
73.82
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.81
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.65
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
450
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
320
Denominator
332
Facility rate
96.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
332
Facility observed rate
1.2
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
330
Number of health care workers
330
Rate of COVID-19 vaccination
100.0