VAN MATRE ENCOMPASS HEALTH REHABILITATION INSTITUT

CMS Certification Number

143028

Ownership Type

For profit

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

0.159

-

Other Measure

3.138

-

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

No Different than the National Benchmark

-

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

1,481

-

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

2.106

-

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

2

-

Catheter-associated urinary tract infections (CAUTI)

0.950

-

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

1,135

-

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

1,135

-

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

1,135

-

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

3

-

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

0.3

-

Change in patients' ability to care for themselves

14.7

-

Change in patients' ability to care for themselves - Denominator

982

-

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

15.0

-

Change in patients' ability to move around

34.5

-

Change in patients' ability to move around - Denominator

983

-

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

34.0

-

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

983

-

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

780

-

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

79.3

-

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

983

-

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

704

-

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

71.6

-

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

0.405

-

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

2.080

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

20,352

-

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

5.998

-

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

6

-

Clostridium difficile Infection (CDI)

1.000

-

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

538

-

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

490

-

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

91.1

-

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

9.40

-

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

102

-

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

9.26

-

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

7.93

-

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

10.81

-

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

1,085

-

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

Worse than the National Rate

-

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

7.39

-

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

91

-

Rate of potentially preventable hospital readmissions during the IRF stay

7.23

-

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

6.00

-

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

8.68

-

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

1,231

-

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)

642

-

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

65.58

-

Rate of successful return to home or community from an IRF

65.70

-

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

62.86

-

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

68.41

-

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

979

-

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

1,136

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.97

-

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

1,135

-

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

1,130

-

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

99.6

-

Other Measure

0.9

-

Other Measure

1,133

-

Other Measure

10

-

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

0.9

-

Other Measure

331

-

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

303

-

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

91.5

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