Henry Mayo Newhall Mem Hosp


About the Facility

CMS Certification Number (CCN)
05T624
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
23834 Mcbean Pkwy
Phone Number
(661) 200-1538

Facility Medical Condition Statistics

All other conditions
74
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
57
Hip or knee replacement, amputation or other bone or joint condition
57
Nervous system disorder (excluding stroke)
26
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
57

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
Not Available
Comparative performance category
Not Available
Catheter days
371
Predicted number of infections (B)
0.768
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
279
Denominator
279
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.1
Denominator
248
Average observed change score
10.2
Change in patients ability to move around
Average risk-adjusted change score
28.5
Denominator
248
Average observed change score
29.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
104
Denominator
248
Facility rate
41.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
138
Denominator
248
Facility rate
55.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
279
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
2.175
Comparative performance category
No Different than the National Benchmark
Patient days
3,592
Predicted number of infections (B)
1.377
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
30
Number of health care workers
40
Rate of flu vaccination
75.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
27
Number of eligible stays
268
Unadjusted potentially preventable readmission rate
10.07
Risk-standardized potentially preventable readmission rate (RSRR)
9.36
Lower limit of the 95% confidence interval on the RSRR
7.45
Upper limit of the 95% confidence interval on the RSRR
11.58
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
16
Number of eligible stays
301
Unadjusted potentially preventable readmission rate
5.32
Risk-standardized potentially preventable readmission rate (RSRR)
5.26
Lower limit of the 95% confidence interval on the RSRR
3.63
Upper limit of the 95% confidence interval on the RSRR
7.76
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)
171
Number of eligible stays
263
Observed discharge to community rate
65.02
Risk-standardized discharge to community rate
65.45
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.01
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.14
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
255
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
272
Denominator
279
Facility rate
97.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
279
Facility observed rate
1.8
Facility risk-adjusted rate
2.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
38
Number of health care workers
38
Rate of COVID-19 vaccination
100.0