Good Samaritan Hospital


About the Facility

CMS Certification Number (CCN)
05T380
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
15891 Los-Gatos-Almaden Road
Phone Number
(408) 358-5611

Facility Medical Condition Statistics

All other conditions
32
Brain disease or condition (non-traumatic)
18
Brain injury (traumatic)
14
Hip or femur fracture
54
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
28
Spinal cord injury (traumatic)
-
Stroke
105

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
202
Predicted number of infections (B)
0.464
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
272
Denominator
272
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.2
Denominator
241
Average observed change score
16.3
Change in patients ability to move around
Average risk-adjusted change score
34.8
Denominator
241
Average observed change score
38.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
174
Denominator
241
Facility rate
72.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
179
Denominator
241
Facility rate
74.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
272
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
1.994
Comparative performance category
No Different than the National Benchmark
Patient days
4,682
Predicted number of infections (B)
1.503
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
116
Number of health care workers
746
Rate of flu vaccination
15.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
405
Unadjusted potentially preventable readmission rate
5.93
Risk-standardized potentially preventable readmission rate (RSRR)
8.67
Lower limit of the 95% confidence interval on the RSRR
6.89
Upper limit of the 95% confidence interval on the RSRR
11.11
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
433
Unadjusted potentially preventable readmission rate
3.23
Risk-standardized potentially preventable readmission rate (RSRR)
4.45
Lower limit of the 95% confidence interval on the RSRR
3.12
Upper limit of the 95% confidence interval on the RSRR
6.24
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)
278
Number of eligible stays
359
Observed discharge to community rate
77.44
Risk-standardized discharge to community rate
74.73
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.67
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
78.46
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
381
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
271
Denominator
272
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
272
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
120
Number of health care workers
125
Rate of COVID-19 vaccination
96.0