MOSS REHAB

CMS Certification Number

39T142

Ownership Type

Non-profit

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

0.711

-

Other Measure

2.350

-

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

No Different than the National Benchmark

-

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

2,986

-

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

8.136

-

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

11

-

Catheter-associated urinary tract infections (CAUTI)

1.352

-

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

1,657

-

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

1,657

-

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

1,657

-

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

11.2

-

Change in patients' ability to care for themselves - Denominator

1,387

-

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

12.7

-

Change in patients' ability to move around

30.6

-

Change in patients' ability to move around - Denominator

1,387

-

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

33.1

-

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

1,387

-

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

730

-

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

52.6

-

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

1,387

-

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

758

-

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

54.7

-

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

0.003

-

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

0.310

-

Clostridium difficile Infection (CDI) - Comparative performance category

Better than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

42,196

-

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

15.930

-

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

1

-

Clostridium difficile Infection (CDI)

0.063

-

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

1,012

-

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

997

-

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

98.5

-

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

6.37

-

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

70

-

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

8.04

-

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

6.78

-

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

9.50

-

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

1,099

-

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

5.05

-

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

63

-

Rate of potentially preventable hospital readmissions during the IRF stay

5.15

-

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

4.13

-

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

6.33

-

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

1,247

-

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)

636

-

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

62.97

-

Rate of successful return to home or community from an IRF

64.98

-

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

62.18

-

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

67.73

-

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

1,010

-

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

1,060

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

1.00

-

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

1,657

-

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

1,655

-

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

99.9

-

Other Measure

0.6

-

Other Measure

1,655

-

Other Measure

10

-

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

0.6

-

Other Measure

982

-

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

966

-

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

98.4

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