About the Facility
- CMS Certification Number (CCN)
- 29T049
- Ownership Type
- Non-profit
- CMS Region
- San Francisco
- Certification Date
- Address
1495 Mill Street
- Phone Number
- (775) 982-3501
Facility Medical Condition Statistics
- All other conditions
- 157
- Brain disease or condition (non-traumatic)
- 82
- Brain injury (traumatic)
- 56
- Hip or femur fracture
- 147
- Hip or knee replacement, amputation or other bone or joint condition
- 94
- Nervous system disorder (excluding stroke)
- 64
- Spinal cord disease or condition (non-traumatic)
- 51
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 117
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.212
- SIR 95% confidence interval - upper limit
- 4.179
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,022
- Predicted number of infections (B)
- 1.581
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.265
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 764
- Denominator
- 768
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.7
- Denominator
- 678
- Average observed change score
- 11.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.9
- Denominator
- 678
- Average observed change score
- 30.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 297
- Denominator
- 678
- Facility rate
- 43.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 322
- Denominator
- 678
- Facility rate
- 47.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 768
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.204
- SIR 95% confidence interval - upper limit
- 1.547
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,222
- Predicted number of infections (B)
- 6.236
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.641
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 270
- Number of health care workers
- 343
- Rate of flu vaccination
- 78.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 43
- Number of eligible stays
- 763
- Unadjusted potentially preventable readmission rate
- 5.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.03
- Lower limit of the 95% confidence interval on the RSRR
- 6.66
- Upper limit of the 95% confidence interval on the RSRR
- 9.65
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 41
- Number of eligible stays
- 837
- Unadjusted potentially preventable readmission rate
- 4.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.80
- Lower limit of the 95% confidence interval on the RSRR
- 4.27
- Upper limit of the 95% confidence interval on the RSRR
- 7.23
- 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)
- 512
- Number of eligible stays
- 711
- Observed discharge to community rate
- 72.01
- Risk-standardized discharge to community rate
- 67.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.76
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.51
- 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
- 702
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 763
- Denominator
- 768
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 764
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 305
- Number of health care workers
- 347
- Rate of COVID-19 vaccination
- 87.9