About the Facility
- CMS Certification Number (CCN)
- 29T032
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
2375 E. Prater Way
- Phone Number
- (775) 356-4588
Facility Medical Condition Statistics
- All other conditions
- 43
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 32
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 32
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 83
- Predicted number of infections (B)
- 0.168
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 159
- Denominator
- 159
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 144
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.5
- Denominator
- 144
- Average observed change score
- 34.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 116
- Denominator
- 144
- Facility rate
- 80.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 104
- Denominator
- 144
- Facility rate
- 72.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 159
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,334
- Predicted number of infections (B)
- 0.892
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 11
- Number of health care workers
- 33
- Rate of flu vaccination
- 33.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 122
- Unadjusted potentially preventable readmission rate
- 9.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.09
- Lower limit of the 95% confidence interval on the RSRR
- 6.96
- Upper limit of the 95% confidence interval on the RSRR
- 11.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 128
- Unadjusted potentially preventable readmission rate
- 3.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.01
- Lower limit of the 95% confidence interval on the RSRR
- 3.45
- Upper limit of the 95% confidence interval on the RSRR
- 7.73
- 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)
- 81
- Number of eligible stays
- 110
- Observed discharge to community rate
- 73.64
- Risk-standardized discharge to community rate
- 67.40
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.39
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.37
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 113
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 159
- Denominator
- 159
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 159
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 28
- Rate of COVID-19 vaccination
- 100.0