About the Facility
- CMS Certification Number (CCN)
- 123025
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
226 N Kuakini Street
- Phone Number
- (808) 531-3511
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 69
- Hip or femur fracture
- 73
- Hip or knee replacement, amputation or other bone or joint condition
- 211
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 65
- Spinal cord injury (traumatic)
- 23
- Stroke
- 224
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.032
- SIR 95% confidence interval - upper limit
- 3.203
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 755
- Predicted number of infections (B)
- 1.540
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.649
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 720
- Denominator
- 720
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 621
- Average observed change score
- 12.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.5
- Denominator
- 621
- Average observed change score
- 28.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 302
- Denominator
- 621
- Facility rate
- 48.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 281
- Denominator
- 621
- Facility rate
- 45.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 720
- 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
- 0.447
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 19,774
- Predicted number of infections (B)
- 6.702
- 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
- 387
- Number of health care workers
- 527
- Rate of flu vaccination
- 73.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 640
- Unadjusted potentially preventable readmission rate
- 2.34
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.90
- Lower limit of the 95% confidence interval on the RSRR
- 5.38
- Upper limit of the 95% confidence interval on the RSRR
- 8.81
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 678
- Unadjusted potentially preventable readmission rate
- 2.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.14
- Lower limit of the 95% confidence interval on the RSRR
- 2.87
- Upper limit of the 95% confidence interval on the RSRR
- 5.55
- 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)
- 490
- Number of eligible stays
- 565
- Observed discharge to community rate
- 86.73
- Risk-standardized discharge to community rate
- 76.01
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.42
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.76
- Number of eligible episodes
- 654
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 711
- Denominator
- 720
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 720
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 451
- Number of health care workers
- 457
- Rate of COVID-19 vaccination
- 98.7