GRANDVIEW MEDICAL CENTER

CMS Certification Number

01T104

Ownership Type

For 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

241

-

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

0.625

-

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

2

-

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

373

-

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

373

-

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

373

-

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

14.1

-

Change in patients' ability to care for themselves - Denominator

317

-

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

14.7

-

Change in patients' ability to move around

37.4

-

Change in patients' ability to move around - Denominator

317

-

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

37.5

-

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

317

-

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

224

-

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

70.7

-

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

317

-

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

243

-

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

76.7

-

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

0.019

-

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

1.844

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

5,189

-

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

2.674

-

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

1

-

Clostridium difficile Infection (CDI)

0.374

-

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

35

-

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

19

-

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

54.3

-

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

8.00

-

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

28

-

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

8.56

-

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

6.79

-

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

10.53

-

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

350

-

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

3.94

-

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

15

-

Rate of potentially preventable hospital readmissions during the IRF stay

4.65

-

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

3.29

-

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

6.12

-

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

381

-

Rate of successful return to home or community from an IRF - Comparative performance category

Better than the National Rate

-

Rate of successful return to home or community from an IRF - Observed number of discharges to community (DTC)

231

-

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

74.76

-

Rate of successful return to home or community from an IRF

71.49

-

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

67.12

-

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

75.56

-

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

309

-

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

324

-

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

373

-

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

369

-

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

98.9

-

Other Measure

3.3

-

Other Measure

371

-

Other Measure

14

-

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

3.8

-

Other Measure

36

-

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

31

-

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

86.1

-