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