About the Facility
- CMS Certification Number (CCN)
- 05T485
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
2801 Atlantic Avenue
- Phone Number
- (562) 933-9074
Facility Medical Condition Statistics
- All other conditions
- 52
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 41
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 35
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 82
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
- 323
- Predicted number of infections (B)
- 0.879
- 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
- 287
- Denominator
- 287
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 253
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.1
- Denominator
- 253
- Average observed change score
- 30.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 124
- Denominator
- 253
- Facility rate
- 49.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 128
- Denominator
- 253
- Facility rate
- 50.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 287
- 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
- 1.234
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,301
- Predicted number of infections (B)
- 2.428
- 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
- 1,220
- Number of health care workers
- 1,506
- Rate of flu vaccination
- 81.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 334
- Unadjusted potentially preventable readmission rate
- 5.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.99
- Lower limit of the 95% confidence interval on the RSRR
- 6.37
- Upper limit of the 95% confidence interval on the RSRR
- 10.05
- 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
- 369
- Unadjusted potentially preventable readmission rate
- 3.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.50
- Lower limit of the 95% confidence interval on the RSRR
- 3.36
- Upper limit of the 95% confidence interval on the RSRR
- 6.26
- 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)
- 219
- Number of eligible stays
- 302
- Observed discharge to community rate
- 72.52
- Risk-standardized discharge to community rate
- 71.62
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.53
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.90
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 321
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 272
- Denominator
- 287
- Facility rate
- 94.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 286
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 58
- Number of health care workers
- 59
- Rate of COVID-19 vaccination
- 98.3