Lawrence Memorial Hospital


About the Facility

CMS Certification Number (CCN)
07T007
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
365 Montauk Ave
Phone Number
(860) 442-0711

Facility Medical Condition Statistics

All other conditions
29
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
11
Hip or femur fracture
21
Hip or knee replacement, amputation or other bone or joint condition
11
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
65

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
260
Predicted number of infections (B)
0.708
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
149
Denominator
151
Facility rate
98.7
Change in patients ability to care for themselves
Average risk-adjusted change score
10.7
Denominator
136
Average observed change score
11.0
Change in patients ability to move around
Average risk-adjusted change score
23.3
Denominator
136
Average observed change score
24.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
69
Denominator
136
Facility rate
50.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
47
Denominator
136
Facility rate
34.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
151
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.033
SIR 95% confidence interval - upper limit
3.289
Comparative performance category
No Different than the National Benchmark
Patient days
3,326
Predicted number of infections (B)
1.499
Number of infections reported (A)
1
SIR (A/B)
0.667
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
52
Number of health care workers
55
Rate of flu vaccination
94.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
11
Number of eligible stays
218
Unadjusted potentially preventable readmission rate
5.05
Risk-standardized potentially preventable readmission rate (RSRR)
8.06
Lower limit of the 95% confidence interval on the RSRR
6.17
Upper limit of the 95% confidence interval on the RSRR
10.52
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
233
Unadjusted potentially preventable readmission rate
0.43
Risk-standardized potentially preventable readmission rate (RSRR)
3.50
Lower limit of the 95% confidence interval on the RSRR
2.43
Upper limit of the 95% confidence interval on the RSRR
5.00
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)
124
Number of eligible stays
186
Observed discharge to community rate
66.67
Risk-standardized discharge to community rate
64.94
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.43
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.06
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.89
Number of eligible episodes
202
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
147
Denominator
151
Facility rate
97.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
151
Facility observed rate
2.0
Facility risk-adjusted rate
2.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
51
Number of health care workers
52
Rate of COVID-19 vaccination
98.1