Lac/rancho Los Amigos National Med Ctr


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