About the Facility
- CMS Certification Number (CCN)
- 05T717
- Ownership Type
- Government
- CMS Region
- San Francisco
- Certification Date
- Address
7601 E Imperial Hwy
- Phone Number
- (562) 385-7913
Facility Medical Condition Statistics
- All other conditions
- 15
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 18
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- 13
- Stroke
- 80
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.266
- SIR 95% confidence interval - upper limit
- 5.240
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 463
- Predicted number of infections (B)
- 1.261
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.586
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 210
- Denominator
- 210
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.9
- Denominator
- 188
- Average observed change score
- 9.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.8
- Denominator
- 188
- Average observed change score
- 23.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 76
- Denominator
- 189
- Facility rate
- 40.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 83
- Denominator
- 189
- Facility rate
- 43.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 210
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.130
- SIR 95% confidence interval - upper limit
- 0.989
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 23,330
- Predicted number of infections (B)
- 9.755
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.410
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 128
- Number of health care workers
- 186
- Rate of flu vaccination
- 68.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 4
- Number of eligible stays
- 143
- Unadjusted potentially preventable readmission rate
- 2.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.53
- Lower limit of the 95% confidence interval on the RSRR
- 5.78
- Upper limit of the 95% confidence interval on the RSRR
- 9.48
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 173
- Unadjusted potentially preventable readmission rate
- 5.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.80
- Lower limit of the 95% confidence interval on the RSRR
- 3.42
- Upper limit of the 95% confidence interval on the RSRR
- 6.80
- 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)
- 80
- Number of eligible stays
- 141
- Observed discharge to community rate
- 56.74
- Risk-standardized discharge to community rate
- 62.39
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.12
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.93
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.26
- Number of eligible episodes
- 144
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 208
- Denominator
- 210
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 210
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 173
- Number of health care workers
- 174
- Rate of COVID-19 vaccination
- 99.4