About the Facility
- CMS Certification Number (CCN)
- 05T320
- Ownership Type
- Government
- CMS Region
- San Francisco
- Certification Date
- Address
15400 Foothill Blvd
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 28
- Brain disease or condition (non-traumatic)
- 11
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 49
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 64
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
- 1.962
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 561
- Predicted number of infections (B)
- 1.527
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 177
- Denominator
- 177
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 168
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.2
- Denominator
- 169
- Average observed change score
- 27.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 85
- Denominator
- 169
- Facility rate
- 50.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 72
- Denominator
- 169
- Facility rate
- 42.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 177
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.077
- SIR 95% confidence interval - upper limit
- 1.516
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,449
- Predicted number of infections (B)
- 4.360
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.459
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 105
- Number of health care workers
- 106
- Rate of flu vaccination
- 99.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 12
- Number of eligible stays
- 286
- Unadjusted potentially preventable readmission rate
- 4.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.67
- Lower limit of the 95% confidence interval on the RSRR
- 5.96
- Upper limit of the 95% confidence interval on the RSRR
- 9.63
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 296
- Unadjusted potentially preventable readmission rate
- 1.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.68
- Lower limit of the 95% confidence interval on the RSRR
- 2.31
- Upper limit of the 95% confidence interval on the RSRR
- 5.34
- 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)
- 148
- Number of eligible stays
- 240
- Observed discharge to community rate
- 61.67
- Risk-standardized discharge to community rate
- 60.12
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.79
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.52
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 264
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 173
- Denominator
- 177
- Facility rate
- 97.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 176
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 102
- Number of health care workers
- 140
- Rate of COVID-19 vaccination
- 72.9