About the Facility
- CMS Certification Number (CCN)
- 05T281
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
100 S. Raymond Avenue
- Phone Number
- (626) 458-4767
Facility Medical Condition Statistics
- All other conditions
- 22
- Brain disease or condition (non-traumatic)
- 54
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 33
- 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)
- 34
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 34
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
- 348
- Predicted number of infections (B)
- 0.719
- 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
- 198
- Denominator
- 198
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.7
- Denominator
- 174
- Average observed change score
- 15.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.6
- Denominator
- 174
- Average observed change score
- 29.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 127
- Denominator
- 174
- Facility rate
- 73.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 110
- Denominator
- 174
- Facility rate
- 63.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 198
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.769
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,612
- Predicted number of infections (B)
- 1.694
- 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
- 74
- Number of health care workers
- 80
- Rate of flu vaccination
- 92.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 269
- Unadjusted potentially preventable readmission rate
- 7.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.24
- Lower limit of the 95% confidence interval on the RSRR
- 6.52
- Upper limit of the 95% confidence interval on the RSRR
- 10.28
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 284
- Unadjusted potentially preventable readmission rate
- 4.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.32
- Upper limit of the 95% confidence interval on the RSRR
- 6.93
- 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)
- 178
- Number of eligible stays
- 244
- Observed discharge to community rate
- 72.95
- Risk-standardized discharge to community rate
- 76.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.78
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 80.87
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 272
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 198
- Denominator
- 198
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 198
- Facility observed rate
- 3.0
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 65
- Number of health care workers
- 65
- Rate of COVID-19 vaccination
- 100.0