About the Facility
- CMS Certification Number (CCN)
- 05T624
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
23834 Mcbean Pkwy
- Phone Number
- (661) 200-1538
Facility Medical Condition Statistics
- All other conditions
- 74
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 57
- Hip or knee replacement, amputation or other bone or joint condition
- 57
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 57
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
- 371
- Predicted number of infections (B)
- 0.768
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 279
- Denominator
- 279
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 248
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.5
- Denominator
- 248
- Average observed change score
- 29.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 104
- Denominator
- 248
- Facility rate
- 41.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 138
- Denominator
- 248
- Facility rate
- 55.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 279
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.175
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,592
- Predicted number of infections (B)
- 1.377
- 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
- 30
- Number of health care workers
- 40
- Rate of flu vaccination
- 75.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 268
- Unadjusted potentially preventable readmission rate
- 10.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.36
- Lower limit of the 95% confidence interval on the RSRR
- 7.45
- Upper limit of the 95% confidence interval on the RSRR
- 11.58
- 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
- 301
- Unadjusted potentially preventable readmission rate
- 5.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.26
- Lower limit of the 95% confidence interval on the RSRR
- 3.63
- Upper limit of the 95% confidence interval on the RSRR
- 7.76
- 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)
- 171
- Number of eligible stays
- 263
- Observed discharge to community rate
- 65.02
- Risk-standardized discharge to community rate
- 65.45
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.14
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 255
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 272
- Denominator
- 279
- Facility rate
- 97.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 279
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 100.0