About the Facility
- CMS Certification Number (CCN)
- 05T308
- Ownership Type
- Government
- CMS Region
- San Francisco
- Certification Date
- Address
355 Dardanelli
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 60
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 51
- Hip or knee replacement, amputation or other bone or joint condition
- 80
- Nervous system disorder (excluding stroke)
- 30
- 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
- 119
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.199
- SIR 95% confidence interval - upper limit
- 3.917
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 619
- Predicted number of infections (B)
- 1.687
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.186
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 358
- Denominator
- 358
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.7
- Denominator
- 316
- Average observed change score
- 15.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.5
- Denominator
- 316
- Average observed change score
- 36.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 213
- Denominator
- 316
- Facility rate
- 67.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 199
- Denominator
- 316
- Facility rate
- 63.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 358
- 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
- 1.242
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,717
- Predicted number of infections (B)
- 2.412
- 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
- 48
- Number of health care workers
- 59
- Rate of flu vaccination
- 81.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 30
- Number of eligible stays
- 522
- Unadjusted potentially preventable readmission rate
- 5.75
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.46
- Lower limit of the 95% confidence interval on the RSRR
- 6.78
- Upper limit of the 95% confidence interval on the RSRR
- 10.45
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 552
- Unadjusted potentially preventable readmission rate
- 2.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.18
- Lower limit of the 95% confidence interval on the RSRR
- 2.62
- Upper limit of the 95% confidence interval on the RSRR
- 5.89
- 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)
- 314
- Number of eligible stays
- 448
- Observed discharge to community rate
- 70.09
- Risk-standardized discharge to community rate
- 66.93
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.49
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 523
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 313
- Denominator
- 358
- Facility rate
- 87.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 358
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 76
- Number of health care workers
- 76
- Rate of COVID-19 vaccination
- 100.0