About the Facility
- CMS Certification Number (CCN)
- 05T382
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1115 S. Sunset Avenue
- Phone Number
- (626) 962-4011
Facility Medical Condition Statistics
- All other conditions
- 37
- Brain disease or condition (non-traumatic)
- 16
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- 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
- 53
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
- 147
- Predicted number of infections (B)
- 0.401
- 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
- 147
- Denominator
- 147
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 136
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.2
- Denominator
- 136
- Average observed change score
- 27.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 61
- Denominator
- 136
- Facility rate
- 44.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 62
- Denominator
- 136
- Facility rate
- 45.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 147
- 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
- 2.449
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,434
- Predicted number of infections (B)
- 1.223
- 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
- 2,266
- Number of health care workers
- 2,436
- Rate of flu vaccination
- 93.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 184
- Unadjusted potentially preventable readmission rate
- 8.15
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.89
- Lower limit of the 95% confidence interval on the RSRR
- 6.86
- Upper limit of the 95% confidence interval on the RSRR
- 11.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 206
- Unadjusted potentially preventable readmission rate
- 3.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.87
- Lower limit of the 95% confidence interval on the RSRR
- 3.34
- Upper limit of the 95% confidence interval on the RSRR
- 7.38
- 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)
- 110
- Number of eligible stays
- 168
- Observed discharge to community rate
- 65.48
- Risk-standardized discharge to community rate
- 66.76
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.78
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.55
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.21
- Number of eligible episodes
- 178
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 147
- Denominator
- 147
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 147
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 2,044
- Number of health care workers
- 2,124
- Rate of COVID-19 vaccination
- 96.2