Spring Valley Medical Center


About the Facility

CMS Certification Number (CCN)
29T046
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
5400 S. Rainbow Blvd.
Phone Number
(702) 853-3422

Facility Medical Condition Statistics

All other conditions
363
Brain disease or condition (non-traumatic)
142
Brain injury (traumatic)
27
Hip or femur fracture
162
Hip or knee replacement, amputation or other bone or joint condition
143
Nervous system disorder (excluding stroke)
90
Spinal cord disease or condition (non-traumatic)
17
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
186

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.026
SIR 95% confidence interval - upper limit
2.530
Comparative performance category
No Different than the National Benchmark
Catheter days
1,350
Predicted number of infections (B)
1.949
Number of infections reported (A)
1
SIR (A/B)
0.513
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,095
Denominator
1,095
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
956
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
31.6
Denominator
956
Average observed change score
32.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
650
Denominator
957
Facility rate
67.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
622
Denominator
957
Facility rate
65.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,095
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.006
SIR 95% confidence interval - upper limit
0.628
Comparative performance category
Better than the National Benchmark
Patient days
18,057
Predicted number of infections (B)
7.855
Number of infections reported (A)
1
SIR (A/B)
0.127
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
215
Number of health care workers
311
Rate of flu vaccination
69.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
90
Number of eligible stays
931
Unadjusted potentially preventable readmission rate
9.67
Risk-standardized potentially preventable readmission rate (RSRR)
9.94
Lower limit of the 95% confidence interval on the RSRR
8.31
Upper limit of the 95% confidence interval on the RSRR
11.71
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
34
Number of eligible stays
1,002
Unadjusted potentially preventable readmission rate
3.39
Risk-standardized potentially preventable readmission rate (RSRR)
4.16
Lower limit of the 95% confidence interval on the RSRR
3.11
Upper limit of the 95% confidence interval on the RSRR
5.41
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)
531
Number of eligible stays
867
Observed discharge to community rate
61.25
Risk-standardized discharge to community rate
60.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.57
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.51
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.11
Number of eligible episodes
868
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,089
Denominator
1,095
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
1,092
Facility observed rate
0.5
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
1,446
Number of health care workers
1,990
Rate of COVID-19 vaccination
72.7