Address
500 South Oakwood Road
-
Oshkosh, WI 54904
Contact
(920) 223-1200
Certification Date
06/01/2018
CMS Certification Number
52T009
Ownership Type
Non-profit
| Condition | Count | Footnote |
|---|---|---|
| All other conditions | Less than 11 | 1 |
| Brain disease or condition (non-traumatic) | Less than 11 | 1 |
| Brain injury (traumatic) | Less than 11 | 1 |
| Hip or femur fracture | Less than 11 | 1 |
| Hip or knee replacement, amputation or other bone or joint condition | Less than 11 | 1 |
| Nervous system disorder (excluding stroke) | Less than 11 | 1 |
| Spinal cord disease or condition (non-traumatic) | Less than 11 | 1 |
| Spinal cord injury (traumatic) | Less than 11 | 1 |
| Stroke | 35 | - |
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
184
-
Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)
0.501
-
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
70
-
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator
70
-
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
70
-
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
12.4
-
Change in patients' ability to care for themselves - Denominator
59
-
Change in patients' ability to care for themselves - Average observed change score
12.7
-
Change in patients' ability to move around
27.8
-
Change in patients' ability to move around - Denominator
60
-
Change in patients' ability to move around - Average observed change score
27.3
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator
60
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator
33
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge
55.0
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator
60
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator
30
-
Percentage of patients who are at or above an expected ability to move around at discharge
50.0
-
Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
6,7
Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit
Not Available
6,7
Clostridium difficile Infection (CDI) - Comparative performance category
Not Available
6,7
Clostridium difficile Infection (CDI) - Patient days
1,894
-
Clostridium difficile Infection (CDI) - Predicted number of infections (B)
0.924
-
Clostridium difficile Infection (CDI) - Number of infections reported (A)
0
-
Clostridium difficile Infection (CDI)
Not Available
6,7
Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers
10
-
Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated
10
-
Percentage of healthcare personnel who got a flu shot for the current season
100.0
-
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
6.25
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge
3
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
8.58
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR
6.60
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR
11.28
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays
48
-
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
5.88
-
Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions
3
-
Rate of potentially preventable hospital readmissions during the IRF stay
5.21
-
Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR
3.53
-
Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR
7.53
-
Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays
51
-
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)
27
-
Rate of successful return to home or community from an IRF - Observed discharge to community rate
72.97
-
Rate of successful return to home or community from an IRF
68.55
-
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
59.30
-
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
75.99
-
Rate of successful return to home or community from an IRF - Number of eligible stays
37
-
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes
47
-
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
0.89
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator
70
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator
70
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
100.0
-
Other Measure
0.0
-
Other Measure
70
-
Other Measure
0
-
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
0.0
-
Other Measure
10
-
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated
10
-
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
100.0
-