Encompass Health Rehabilitation Hospital of Lv


About the Facility

CMS Certification Number (CCN)
293026
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
1250 S Valley View Blvd
Phone Number
(702) 877-8898

Facility Medical Condition Statistics

All other conditions
188
Brain disease or condition (non-traumatic)
103
Brain injury (traumatic)
17
Hip or femur fracture
68
Hip or knee replacement, amputation or other bone or joint condition
148
Nervous system disorder (excluding stroke)
293
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
126

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.023
SIR 95% confidence interval - upper limit
2.283
Comparative performance category
No Different than the National Benchmark
Catheter days
1,999
Predicted number of infections (B)
2.160
Number of infections reported (A)
1
SIR (A/B)
0.463
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
947
Denominator
947
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
759
Average observed change score
11.0
Change in patients ability to move around
Average risk-adjusted change score
33.0
Denominator
760
Average observed change score
29.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
497
Denominator
763
Facility rate
65.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
522
Denominator
763
Facility rate
68.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
947
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.869
SIR 95% confidence interval - upper limit
2.604
Comparative performance category
No Different than the National Benchmark
Patient days
21,474
Predicted number of infections (B)
8.322
Number of infections reported (A)
13
SIR (A/B)
1.562
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
345
Number of health care workers
428
Rate of flu vaccination
80.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
174
Number of eligible stays
1,085
Unadjusted potentially preventable readmission rate
16.04
Risk-standardized potentially preventable readmission rate (RSRR)
12.27
Lower limit of the 95% confidence interval on the RSRR
10.88
Upper limit of the 95% confidence interval on the RSRR
13.89
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
77
Number of eligible stays
1,244
Unadjusted potentially preventable readmission rate
6.19
Risk-standardized potentially preventable readmission rate (RSRR)
5.71
Lower limit of the 95% confidence interval on the RSRR
4.54
Upper limit of the 95% confidence interval on the RSRR
7.27
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)
597
Number of eligible stays
939
Observed discharge to community rate
63.58
Risk-standardized discharge to community rate
65.43
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.37
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.24
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
1,298
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
942
Denominator
947
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
945
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
483
Number of health care workers
545
Rate of COVID-19 vaccination
88.6