About the Facility
- CMS Certification Number (CCN)
- 293033
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
9175 West Oquendo Road
- Phone Number
- (702) 252-7342
Facility Medical Condition Statistics
- All other conditions
- 172
- Brain disease or condition (non-traumatic)
- 67
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 50
- Hip or knee replacement, amputation or other bone or joint condition
- 150
- Nervous system disorder (excluding stroke)
- 205
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 114
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
- 1.997
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,389
- Predicted number of infections (B)
- 1.500
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 766
- Denominator
- 770
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.1
- Denominator
- 632
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.8
- Denominator
- 632
- Average observed change score
- 31.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 469
- Denominator
- 632
- Facility rate
- 74.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 436
- Denominator
- 632
- Facility rate
- 69.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 769
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.009
- SIR 95% confidence interval - upper limit
- 0.866
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 14,660
- Predicted number of infections (B)
- 5.694
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.176
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 292
- Number of health care workers
- 394
- Rate of flu vaccination
- 74.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 98
- Number of eligible stays
- 875
- Unadjusted potentially preventable readmission rate
- 11.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.62
- Lower limit of the 95% confidence interval on the RSRR
- 8.15
- Upper limit of the 95% confidence interval on the RSRR
- 11.10
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 83
- Number of eligible stays
- 1,027
- Unadjusted potentially preventable readmission rate
- 8.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.46
- Lower limit of the 95% confidence interval on the RSRR
- 5.85
- Upper limit of the 95% confidence interval on the RSRR
- 8.84
- 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)
- 465
- Number of eligible stays
- 785
- Observed discharge to community rate
- 59.24
- Risk-standardized discharge to community rate
- 60.89
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.06
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 1,086
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 760
- Denominator
- 770
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 769
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 423
- Number of health care workers
- 453
- Rate of COVID-19 vaccination
- 93.4