Northwest Med Ctr Oro Valley


About the Facility

CMS Certification Number (CCN)
03T114
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
1551 E. Tangerine Rd.
Phone Number
(520) 901-6183

Facility Medical Condition Statistics

All other conditions
109
Brain disease or condition (non-traumatic)
32
Brain injury (traumatic)
11
Hip or femur fracture
85
Hip or knee replacement, amputation or other bone or joint condition
68
Nervous system disorder (excluding stroke)
34
Spinal cord disease or condition (non-traumatic)
30
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
90

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
2.505
Comparative performance category
No Different than the National Benchmark
Catheter days
578
Predicted number of infections (B)
1.196
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
436
Denominator
436
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.4
Denominator
375
Average observed change score
16.1
Change in patients ability to move around
Average risk-adjusted change score
38.3
Denominator
375
Average observed change score
40.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
303
Denominator
375
Facility rate
80.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
322
Denominator
375
Facility rate
85.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
436
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.015
SIR 95% confidence interval - upper limit
1.461
Comparative performance category
No Different than the National Benchmark
Patient days
8,051
Predicted number of infections (B)
3.375
Number of infections reported (A)
1
SIR (A/B)
0.296
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
37
Number of health care workers
61
Rate of flu vaccination
60.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
33
Number of eligible stays
478
Unadjusted potentially preventable readmission rate
6.90
Risk-standardized potentially preventable readmission rate (RSRR)
8.59
Lower limit of the 95% confidence interval on the RSRR
7.00
Upper limit of the 95% confidence interval on the RSRR
10.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
509
Unadjusted potentially preventable readmission rate
2.95
Risk-standardized potentially preventable readmission rate (RSRR)
4.29
Lower limit of the 95% confidence interval on the RSRR
3.34
Upper limit of the 95% confidence interval on the RSRR
5.87
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)
325
Number of eligible stays
440
Observed discharge to community rate
73.86
Risk-standardized discharge to community rate
68.54
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.31
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.98
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
482
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
432
Denominator
436
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
436
Facility observed rate
0.2
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
28
Number of health care workers
30
Rate of COVID-19 vaccination
93.3