About the Facility
- CMS Certification Number (CCN)
- 05T782
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
255 E Bonita Ave
Po Box 6001
- Phone Number
- (909) 596-7733
Facility Medical Condition Statistics
- All other conditions
- 137
- Brain disease or condition (non-traumatic)
- 60
- Brain injury (traumatic)
- 66
- Hip or femur fracture
- 58
- Hip or knee replacement, amputation or other bone or joint condition
- 71
- Nervous system disorder (excluding stroke)
- 46
- Spinal cord disease or condition (non-traumatic)
- 69
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 164
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.642
- SIR 95% confidence interval - upper limit
- 3.882
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,401
- Predicted number of infections (B)
- 2.855
- Number of infections reported (A)
- 5
- SIR (A/B)
- 1.751
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 648
- Denominator
- 650
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 585
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.6
- Denominator
- 585
- Average observed change score
- 29.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 277
- Denominator
- 585
- Facility rate
- 47.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 303
- Denominator
- 585
- Facility rate
- 51.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 649
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.112
- SIR 95% confidence interval - upper limit
- 1.197
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 22,040
- Predicted number of infections (B)
- 6.823
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.440
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 942
- Number of health care workers
- 1,481
- Rate of flu vaccination
- 63.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 55
- Number of eligible stays
- 697
- Unadjusted potentially preventable readmission rate
- 7.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.61
- Lower limit of the 95% confidence interval on the RSRR
- 7.10
- Upper limit of the 95% confidence interval on the RSRR
- 10.39
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 53
- Number of eligible stays
- 802
- Unadjusted potentially preventable readmission rate
- 6.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.51
- Lower limit of the 95% confidence interval on the RSRR
- 5.24
- Upper limit of the 95% confidence interval on the RSRR
- 8.47
- 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)
- 430
- Number of eligible stays
- 632
- Observed discharge to community rate
- 68.04
- Risk-standardized discharge to community rate
- 68.03
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.63
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.32
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 739
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 396
- Denominator
- 650
- Facility rate
- 60.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 17
- Denominator
- 648
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,468
- Number of health care workers
- 1,528
- Rate of COVID-19 vaccination
- 96.1