About the Facility
- CMS Certification Number (CCN)
- 05T567
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
27700 Medical Center Rd
- Phone Number
- (949) 365-2447
Facility Medical Condition Statistics
- All other conditions
- 32
- Brain disease or condition (non-traumatic)
- 61
- Brain injury (traumatic)
- 38
- Hip or femur fracture
- 18
- Hip or knee replacement, amputation or other bone or joint condition
- 16
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 86
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.046
- SIR 95% confidence interval - upper limit
- 4.521
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 401
- Predicted number of infections (B)
- 1.091
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.917
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 286
- Denominator
- 286
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 252
- Average observed change score
- 14.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.4
- Denominator
- 252
- Average observed change score
- 33.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 165
- Denominator
- 252
- Facility rate
- 65.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 136
- Denominator
- 252
- Facility rate
- 54.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 286
- 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
- 1.449
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,365
- Predicted number of infections (B)
- 2.067
- 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
- 39
- Number of health care workers
- 56
- Rate of flu vaccination
- 69.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 262
- Unadjusted potentially preventable readmission rate
- 4.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.07
- Lower limit of the 95% confidence interval on the RSRR
- 6.30
- Upper limit of the 95% confidence interval on the RSRR
- 10.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 277
- Unadjusted potentially preventable readmission rate
- 2.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.78
- Lower limit of the 95% confidence interval on the RSRR
- 2.55
- Upper limit of the 95% confidence interval on the RSRR
- 5.82
- 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)
- 175
- Number of eligible stays
- 216
- Observed discharge to community rate
- 81.02
- Risk-standardized discharge to community rate
- 77.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.57
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 81.59
- 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
- 259
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 284
- Denominator
- 286
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 286
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 292
- Number of health care workers
- 298
- Rate of COVID-19 vaccination
- 98.0