About the Facility
- CMS Certification Number (CCN)
- 05T278
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
15031 Rinaldi St
- Phone Number
- (818) 496-4415
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 11
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 18
- 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
- 66
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
- 178
- Predicted number of infections (B)
- 0.485
- 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
- 131
- Denominator
- 131
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.4
- Denominator
- 118
- Average observed change score
- 9.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.3
- Denominator
- 118
- Average observed change score
- 22.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 37
- Denominator
- 118
- Facility rate
- 31.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 43
- Denominator
- 118
- Facility rate
- 36.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 131
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.029
- SIR 95% confidence interval - upper limit
- 2.840
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,507
- Predicted number of infections (B)
- 1.737
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.576
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 22
- Number of health care workers
- 31
- Rate of flu vaccination
- 71.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 4
- Number of eligible stays
- 64
- Unadjusted potentially preventable readmission rate
- 6.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.71
- Lower limit of the 95% confidence interval on the RSRR
- 6.54
- Upper limit of the 95% confidence interval on the RSRR
- 11.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 71
- Unadjusted potentially preventable readmission rate
- 2.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.58
- Lower limit of the 95% confidence interval on the RSRR
- 3.08
- Upper limit of the 95% confidence interval on the RSRR
- 7.14
- 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)
- 40
- Number of eligible stays
- 61
- Observed discharge to community rate
- 65.57
- Risk-standardized discharge to community rate
- 69.04
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.29
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 58
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 129
- Denominator
- 131
- Facility rate
- 98.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 131
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 25
- Number of health care workers
- 25
- Rate of COVID-19 vaccination
- 100.0