QUILLEN REHABILITATION HOSPITAL, AJV OF BALLAD HLT

CMS Certification Number

443033

Ownership Type

For profit

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

Not Available

6,7

Other Measure

Not Available

6,7

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

Not Available

6,7

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

826

-

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

0.893

-

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

0

-

Catheter-associated urinary tract infections (CAUTI)

Not Available

6,7

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

674

-

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

673

-

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

99.9

-

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

674

-

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

2

-

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

15.4

-

Change in patients' ability to care for themselves - Denominator

587

-

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

16.2

-

Change in patients' ability to move around

39.2

-

Change in patients' ability to move around - Denominator

587

-

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

40.1

-

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

587

-

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

489

-

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

83.3

-

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

587

-

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

464

-

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

79.0

-

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

0.097

-

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

1.915

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

10,809

-

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

3.451

-

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

2

-

Clostridium difficile Infection (CDI)

0.580

-

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

199

-

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

178

-

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

89.4

-

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

7.79

-

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

47

-

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

8.70

-

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

7.10

-

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

10.46

-

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

603

-

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

5.80

-

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

39

-

Rate of potentially preventable hospital readmissions during the IRF stay

5.95

-

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

4.68

-

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

7.81

-

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

672

-

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)

390

-

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

71.04

-

Rate of successful return to home or community from an IRF

69.95

-

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

66.40

-

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

73.18

-

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

549

-

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

634

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

1.04

-

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

674

-

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

672

-

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

99.7

-

Other Measure

1.2

-

Other Measure

671

-

Other Measure

8

-

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

1.2

-

Other Measure

212

-

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

182

-

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

85.8

-