SPAIN REHABILITATION CENTER

CMS Certification Number

01T033

Ownership Type

Government

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

0.182

-

Other Measure

3.593

-

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

No Different than the National Benchmark

-

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

888

-

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

1.839

-

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

2

-

Catheter-associated urinary tract infections (CAUTI)

1.088

-

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

408

-

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

403

-

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

98.8

-

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

408

-

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

1

-

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

0.2

-

Change in patients' ability to care for themselves

6.7

-

Change in patients' ability to care for themselves - Denominator

345

-

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

6.8

-

Change in patients' ability to move around

17.5

-

Change in patients' ability to move around - Denominator

346

-

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

19.3

-

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

346

-

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

15.3

-

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

346

-

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

74

-

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

21.4

-

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

0.150

-

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

0.910

-

Clostridium difficile Infection (CDI) - Comparative performance category

Better than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

19,386

-

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

12.175

-

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

5

-

Clostridium difficile Infection (CDI)

0.411

-

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

453

-

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

423

-

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

93.4

-

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

8.73

-

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

24

-

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

8.68

-

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

6.87

-

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

10.90

-

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

275

-

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

8.00

-

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

26

-

Rate of potentially preventable hospital readmissions during the IRF stay

6.06

-

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

4.56

-

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

8.03

-

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

325

-

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)

163

-

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

63.18

-

Rate of successful return to home or community from an IRF

66.07

-

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

60.94

-

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

71.17

-

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

258

-

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

255

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.98

-

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

408

-

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

408

-

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

100.0

-

Other Measure

1.2

-

Other Measure

408

-

Other Measure

5

-

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

1.2

-

Other Measure

450

-

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

425

-

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

94.4

-