About the Facility
- CMS Certification Number (CCN)
- 29T003
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
3186 S. Maryland Pkwy.
W300
- Phone Number
- (702) 731-8310
Facility Medical Condition Statistics
- All other conditions
- 127
- Brain disease or condition (non-traumatic)
- 285
- Brain injury (traumatic)
- 113
- Hip or femur fracture
- 108
- Hip or knee replacement, amputation or other bone or joint condition
- 61
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 113
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
- 2.892
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 717
- Predicted number of infections (B)
- 1.036
- 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
- 797
- Denominator
- 800
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 515
- Average observed change score
- 17.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.3
- Denominator
- 515
- Average observed change score
- 37.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 380
- Denominator
- 515
- Facility rate
- 73.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 344
- Denominator
- 515
- Facility rate
- 66.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 799
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.008
- SIR 95% confidence interval - upper limit
- 0.792
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 14,463
- Predicted number of infections (B)
- 6.224
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.161
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 20
- Number of health care workers
- 140
- Rate of flu vaccination
- 14.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 115
- Number of eligible stays
- 963
- Unadjusted potentially preventable readmission rate
- 11.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.16
- Lower limit of the 95% confidence interval on the RSRR
- 8.76
- Upper limit of the 95% confidence interval on the RSRR
- 11.64
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 57
- Number of eligible stays
- 1,072
- Unadjusted potentially preventable readmission rate
- 5.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.82
- Lower limit of the 95% confidence interval on the RSRR
- 3.73
- Upper limit of the 95% confidence interval on the RSRR
- 5.67
- 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)
- 538
- Number of eligible stays
- 848
- Observed discharge to community rate
- 63.44
- Risk-standardized discharge to community rate
- 66.75
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.57
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 896
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 797
- Denominator
- 800
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 797
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 115
- Number of health care workers
- 138
- Rate of COVID-19 vaccination
- 83.3