ST. VINCENTS EAST REHABILITATION CENTER

CMS Certification Number

01T011

Ownership Type

Non-profit

Catheter-associated urinary tract infections (CAUTI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

Not Available

7

Other Measure

Not Available

7

Catheter-associated urinary tract infections (CAUTI) - Comparative performance category

Not Available

7

Catheter-associated urinary tract infections (CAUTI) - Catheter days

272

-

Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)

0.518

-

Catheter-associated urinary tract infections (CAUTI) - Number of infections reported (A)

1

-

Catheter-associated urinary tract infections (CAUTI)

Not Available

7

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Denominator

148

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator

148

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan

100.0

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Denominator

148

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Numerator

0

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay

0.0

-

Change in patients' ability to care for themselves

9.0

-

Change in patients' ability to care for themselves - Denominator

128

-

Change in patients' ability to care for themselves - Average observed change score

9.0

-

Change in patients' ability to move around

27.5

-

Change in patients' ability to move around - Denominator

128

-

Change in patients' ability to move around - Average observed change score

31.6

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

128

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

53

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge

41.4

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

128

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

62

-

Percentage of patients who are at or above an expected ability to move around at discharge

48.4

-

Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

0.043

-

Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit

4.206

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

2,986

-

Clostridium difficile Infection (CDI) - Predicted number of infections (B)

1.172

-

Clostridium difficile Infection (CDI) - Number of infections reported (A)

1

-

Clostridium difficile Infection (CDI)

0.853

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers

19

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated

17

-

Percentage of healthcare personnel who got a flu shot for the current season

89.5

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Unadjusted potentially preventable readmission rate

9.47

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge

9

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF

9.08

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR

6.91

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR

11.68

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays

95

-

Rate of potentially preventable hospital readmissions during the IRF stay - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions during the IRF stay - Unadjusted potentially preventable readmission rate

0.97

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions

1

-

Rate of potentially preventable hospital readmissions during the IRF stay

4.26

-

Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR

2.72

-

Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR

6.60

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays

103

-

Rate of successful return to home or community from an IRF - 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)

61

-

Rate of successful return to home or community from an IRF - Observed discharge to community rate

77.22

-

Rate of successful return to home or community from an IRF

69.67

-

Rate of successful return to home or community from an IRF - Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

62.97

-

Rate of successful return to home or community from an IRF - Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

75.19

-

Rate of successful return to home or community from an IRF - Number of eligible stays

79

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes

87

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.92

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator

148

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator

140

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

94.6

-

Other Measure

0.9

-

Other Measure

148

-

Other Measure

1

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

0.7

-

Other Measure

15

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated

15

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series

100.0

-