About the Facility
- CMS Certification Number (CCN)
- 293032
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
10301 Jeffreys St
- Phone Number
- (702) 939-9400
Facility Medical Condition Statistics
- All other conditions
- 217
- Brain disease or condition (non-traumatic)
- 153
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 85
- Hip or knee replacement, amputation or other bone or joint condition
- 213
- Nervous system disorder (excluding stroke)
- 319
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- 12
- Stroke
- 185
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.168
- SIR 95% confidence interval - upper limit
- 3.314
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,845
- Predicted number of infections (B)
- 1.994
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.003
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,204
- Denominator
- 1,204
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,026
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.7
- Denominator
- 1,026
- Average observed change score
- 29.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 749
- Denominator
- 1,026
- Facility rate
- 73.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 726
- Denominator
- 1,026
- Facility rate
- 70.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,204
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.414
- SIR 95% confidence interval - upper limit
- 1.559
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,643
- Predicted number of infections (B)
- 10.594
- Number of infections reported (A)
- 9
- SIR (A/B)
- 0.850
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 269
- Number of health care workers
- 370
- Rate of flu vaccination
- 72.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 166
- Number of eligible stays
- 1,169
- Unadjusted potentially preventable readmission rate
- 14.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.36
- Lower limit of the 95% confidence interval on the RSRR
- 9.96
- Upper limit of the 95% confidence interval on the RSRR
- 12.81
- 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
- 1,311
- Unadjusted potentially preventable readmission rate
- 5.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.58
- Lower limit of the 95% confidence interval on the RSRR
- 4.49
- Upper limit of the 95% confidence interval on the RSRR
- 6.98
- 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)
- 666
- Number of eligible stays
- 1,060
- Observed discharge to community rate
- 62.83
- Risk-standardized discharge to community rate
- 65.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.45
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.15
- 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
- 1,438
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,189
- Denominator
- 1,204
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 1,202
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 454
- Number of health care workers
- 494
- Rate of COVID-19 vaccination
- 91.9