About the Facility
- CMS Certification Number (CCN)
- 05T739
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
1101 Medical Center Boulevard
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 43
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 22
- Hip or knee replacement, amputation or other bone or joint condition
- 25
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 58
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
- 381
- Predicted number of infections (B)
- 0.786
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 256
- Denominator
- 256
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.3
- Denominator
- 204
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.6
- Denominator
- 206
- Average observed change score
- 27.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 112
- Denominator
- 206
- Facility rate
- 54.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 118
- Denominator
- 206
- Facility rate
- 57.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 256
- 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
- 1.139
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,189
- Predicted number of infections (B)
- 2.631
- 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
- 19
- Number of health care workers
- 25
- Rate of flu vaccination
- 76.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 341
- Unadjusted potentially preventable readmission rate
- 12.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.96
- Lower limit of the 95% confidence interval on the RSRR
- 8.17
- Upper limit of the 95% confidence interval on the RSRR
- 12.10
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 34
- Number of eligible stays
- 394
- Unadjusted potentially preventable readmission rate
- 8.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.06
- Lower limit of the 95% confidence interval on the RSRR
- 5.42
- Upper limit of the 95% confidence interval on the RSRR
- 9.52
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 173
- Number of eligible stays
- 317
- Observed discharge to community rate
- 54.57
- Risk-standardized discharge to community rate
- 58.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.04
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 324
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 245
- Denominator
- 256
- Facility rate
- 95.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 256
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 23
- Number of health care workers
- 26
- Rate of COVID-19 vaccination
- 88.5