About the Facility
- CMS Certification Number (CCN)
- 05T327
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
11234 Anderson St.
- Phone Number
- (909) 558-6167
Facility Medical Condition Statistics
- All other conditions
- 63
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 16
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 45
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 59
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.516
- SIR 95% confidence interval - upper limit
- 5.524
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 715
- Predicted number of infections (B)
- 1.478
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.030
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 252
- Denominator
- 252
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.2
- Denominator
- 195
- Average observed change score
- 17.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.9
- Denominator
- 195
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 132
- Denominator
- 195
- Facility rate
- 67.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 136
- Denominator
- 195
- Facility rate
- 69.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 252
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.053
- SIR 95% confidence interval - upper limit
- 1.038
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,572
- Predicted number of infections (B)
- 6.365
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.314
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 2,322
- Number of health care workers
- 3,262
- Rate of flu vaccination
- 71.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 264
- Unadjusted potentially preventable readmission rate
- 8.71
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.49
- Lower limit of the 95% confidence interval on the RSRR
- 6.81
- Upper limit of the 95% confidence interval on the RSRR
- 10.58
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 23
- Number of eligible stays
- 304
- Unadjusted potentially preventable readmission rate
- 7.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.52
- Lower limit of the 95% confidence interval on the RSRR
- 4.16
- Upper limit of the 95% confidence interval on the RSRR
- 7.59
- 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)
- 159
- Number of eligible stays
- 240
- Observed discharge to community rate
- 66.25
- Risk-standardized discharge to community rate
- 74.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.04
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 80.65
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 257
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 252
- Denominator
- 252
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 252
- 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
- 2,359
- Number of health care workers
- 2,994
- Rate of COVID-19 vaccination
- 78.8