About the Facility
- CMS Certification Number (CCN)
- 29T039
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
3100 N Tenaya Way
- Phone Number
- (702) 562-5560
Facility Medical Condition Statistics
- All other conditions
- 559
- Brain disease or condition (non-traumatic)
- 243
- Brain injury (traumatic)
- 45
- Hip or femur fracture
- 157
- Hip or knee replacement, amputation or other bone or joint condition
- 141
- Nervous system disorder (excluding stroke)
- 142
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 171
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.021
- SIR 95% confidence interval - upper limit
- 2.036
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,678
- Predicted number of infections (B)
- 2.422
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.413
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,180
- Denominator
- 1,180
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 981
- Average observed change score
- 14.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.8
- Denominator
- 981
- Average observed change score
- 38.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 771
- Denominator
- 981
- Facility rate
- 78.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 783
- Denominator
- 981
- Facility rate
- 79.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,180
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.432
- SIR 95% confidence interval - upper limit
- 1.953
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 17,846
- Predicted number of infections (B)
- 7.091
- Number of infections reported (A)
- 7
- SIR (A/B)
- 0.987
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 3
- Number of health care workers
- 5
- Rate of flu vaccination
- 60.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 171
- Number of eligible stays
- 1,524
- Unadjusted potentially preventable readmission rate
- 11.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.31
- Lower limit of the 95% confidence interval on the RSRR
- 8.30
- Upper limit of the 95% confidence interval on the RSRR
- 10.52
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 103
- Number of eligible stays
- 1,744
- Unadjusted potentially preventable readmission rate
- 5.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.42
- Lower limit of the 95% confidence interval on the RSRR
- 4.43
- Upper limit of the 95% confidence interval on the RSRR
- 6.30
- 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)
- 848
- Number of eligible stays
- 1,396
- Observed discharge to community rate
- 60.74
- Risk-standardized discharge to community rate
- 61.52
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.93
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.92
- 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
- 1,459
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 964
- Denominator
- 1,180
- Facility rate
- 81.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 33
- Denominator
- 1,170
- Facility observed rate
- 2.8
- Facility risk-adjusted rate
- 2.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 128
- Number of health care workers
- 145
- Rate of COVID-19 vaccination
- 88.3