Dignity Health Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
293035
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
2930 Siena Heights Drive
Phone Number
(725) 726-2000

Facility Medical Condition Statistics

All other conditions
317
Brain disease or condition (non-traumatic)
196
Brain injury (traumatic)
19
Hip or femur fracture
137
Hip or knee replacement, amputation or other bone or joint condition
220
Nervous system disorder (excluding stroke)
255
Spinal cord disease or condition (non-traumatic)
41
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
159

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.122
SIR 95% confidence interval - upper limit
2.403
Comparative performance category
No Different than the National Benchmark
Catheter days
1,922
Predicted number of infections (B)
2.750
Number of infections reported (A)
2
SIR (A/B)
0.727
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,319
Denominator
1,319
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
1,104
Average observed change score
14.7
Change in patients ability to move around
Average risk-adjusted change score
30.5
Denominator
1,104
Average observed change score
31.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
656
Denominator
1,104
Facility rate
59.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
629
Denominator
1,104
Facility rate
57.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,319
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.624
SIR 95% confidence interval - upper limit
2.348
Comparative performance category
No Different than the National Benchmark
Patient days
19,426
Predicted number of infections (B)
7.034
Number of infections reported (A)
9
SIR (A/B)
1.279
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
346
Number of health care workers
503
Rate of flu vaccination
68.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
159
Number of eligible stays
1,325
Unadjusted potentially preventable readmission rate
12.00
Risk-standardized potentially preventable readmission rate (RSRR)
10.54
Lower limit of the 95% confidence interval on the RSRR
9.30
Upper limit of the 95% confidence interval on the RSRR
11.97
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
98
Number of eligible stays
1,489
Unadjusted potentially preventable readmission rate
6.58
Risk-standardized potentially preventable readmission rate (RSRR)
6.15
Lower limit of the 95% confidence interval on the RSRR
5.19
Upper limit of the 95% confidence interval on the RSRR
7.35
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)
749
Number of eligible stays
1,213
Observed discharge to community rate
61.75
Risk-standardized discharge to community rate
63.35
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.64
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.98
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
1,448
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,317
Denominator
1,319
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
1,315
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
478
Number of health care workers
503
Rate of COVID-19 vaccination
95.0