About the Facility
- CMS Certification Number (CCN)
- 293034
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
6166 N Durango Drive
- Phone Number
- (725) 223-4100
Facility Medical Condition Statistics
- All other conditions
- 172
- Brain disease or condition (non-traumatic)
- 122
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 75
- Hip or knee replacement, amputation or other bone or joint condition
- 151
- Nervous system disorder (excluding stroke)
- 540
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 150
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.425
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,882
- Predicted number of infections (B)
- 2.034
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.492
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,198
- Denominator
- 1,202
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.2
- Denominator
- 957
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.4
- Denominator
- 958
- Average observed change score
- 22.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 401
- Denominator
- 958
- Facility rate
- 41.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 342
- Denominator
- 958
- Facility rate
- 35.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,202
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.298
- SIR 95% confidence interval - upper limit
- 1.802
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 15,219
- Predicted number of infections (B)
- 6.151
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.813
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 157
- Number of health care workers
- 295
- Rate of flu vaccination
- 53.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 183
- Number of eligible stays
- 1,108
- Unadjusted potentially preventable readmission rate
- 16.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.53
- Lower limit of the 95% confidence interval on the RSRR
- 10.28
- Upper limit of the 95% confidence interval on the RSRR
- 12.98
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 97
- Number of eligible stays
- 1,273
- Unadjusted potentially preventable readmission rate
- 7.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.88
- Lower limit of the 95% confidence interval on the RSRR
- 4.93
- Upper limit of the 95% confidence interval on the RSRR
- 6.97
- 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)
- 539
- Number of eligible stays
- 993
- Observed discharge to community rate
- 54.28
- Risk-standardized discharge to community rate
- 60.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.96
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.20
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 1,591
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,192
- Denominator
- 1,202
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 1,196
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 257
- Number of health care workers
- 280
- Rate of COVID-19 vaccination
- 91.8