Los Robles Hospital Medical Center


About the Facility

CMS Certification Number (CCN)
05T549
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
150 Via Merida
Phone Number
(805) 370-4865

Facility Medical Condition Statistics

All other conditions
200
Brain disease or condition (non-traumatic)
53
Brain injury (traumatic)
52
Hip or femur fracture
121
Hip or knee replacement, amputation or other bone or joint condition
145
Nervous system disorder (excluding stroke)
87
Spinal cord disease or condition (non-traumatic)
24
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
127

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.444
SIR 95% confidence interval - upper limit
4.755
Comparative performance category
No Different than the National Benchmark
Catheter days
1,139
Predicted number of infections (B)
1.717
Number of infections reported (A)
3
SIR (A/B)
1.747
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
806
Denominator
807
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
741
Average observed change score
13.2
Change in patients ability to move around
Average risk-adjusted change score
29.3
Denominator
741
Average observed change score
31.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
551
Denominator
741
Facility rate
74.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
534
Denominator
741
Facility rate
72.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
807
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.013
SIR 95% confidence interval - upper limit
1.286
Comparative performance category
No Different than the National Benchmark
Patient days
13,016
Predicted number of infections (B)
3.834
Number of infections reported (A)
1
SIR (A/B)
0.261
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
137
Number of health care workers
755
Rate of flu vaccination
18.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
85
Number of eligible stays
1,200
Unadjusted potentially preventable readmission rate
7.08
Risk-standardized potentially preventable readmission rate (RSRR)
8.46
Lower limit of the 95% confidence interval on the RSRR
7.14
Upper limit of the 95% confidence interval on the RSRR
9.98
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
48
Number of eligible stays
1,290
Unadjusted potentially preventable readmission rate
3.72
Risk-standardized potentially preventable readmission rate (RSRR)
4.51
Lower limit of the 95% confidence interval on the RSRR
3.66
Upper limit of the 95% confidence interval on the RSRR
5.74
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)
768
Number of eligible stays
1,067
Observed discharge to community rate
71.98
Risk-standardized discharge to community rate
69.31
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.71
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
1,154
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
801
Denominator
807
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
807
Facility observed rate
0.2
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
58
Number of health care workers
65
Rate of COVID-19 vaccination
89.2