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