About the Facility
- CMS Certification Number (CCN)
- 05T396
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
Po Box 689
- Phone Number
- (805) 569-7395
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 32
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 53
- Hip or knee replacement, amputation or other bone or joint condition
- 98
- Nervous system disorder (excluding stroke)
- 21
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 98
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
- 1.941
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 566
- Predicted number of infections (B)
- 1.543
- 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
- 422
- Denominator
- 423
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 369
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 369
- Average observed change score
- 39.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 214
- Denominator
- 369
- Facility rate
- 58.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 254
- Denominator
- 369
- Facility rate
- 68.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 423
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.106
- SIR 95% confidence interval - upper limit
- 2.095
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,248
- Predicted number of infections (B)
- 3.154
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.634
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 808
- Number of health care workers
- 855
- Rate of flu vaccination
- 94.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 30
- Number of eligible stays
- 581
- Unadjusted potentially preventable readmission rate
- 5.16
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.24
- Lower limit of the 95% confidence interval on the RSRR
- 6.61
- Upper limit of the 95% confidence interval on the RSRR
- 10.36
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 625
- Unadjusted potentially preventable readmission rate
- 2.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.24
- Lower limit of the 95% confidence interval on the RSRR
- 3.33
- Upper limit of the 95% confidence interval on the RSRR
- 6.16
- 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)
- 418
- Number of eligible stays
- 524
- Observed discharge to community rate
- 79.77
- Risk-standardized discharge to community rate
- 72.16
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.09
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.83
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 589
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 416
- Denominator
- 423
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 422
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,388
- Number of health care workers
- 1,411
- Rate of COVID-19 vaccination
- 98.4