Loma Linda University Medical Center


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