St Mary's West Palm Beach


About the Facility

CMS Certification Number (CCN)
10T288
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
St. Mary's Medical Center
901 45th Street
Phone Number
(561) 841-9409

Facility Medical Condition Statistics

All other conditions
13
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
18
Hip or femur fracture
11
Hip or knee replacement, amputation or other bone or joint condition
32
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
69

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
96
Predicted number of infections (B)
0.262
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
160
Denominator
161
Facility rate
99.4
Change in patients ability to care for themselves
Average risk-adjusted change score
9.8
Denominator
142
Average observed change score
9.7
Change in patients ability to move around
Average risk-adjusted change score
24.3
Denominator
142
Average observed change score
25.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
49
Denominator
142
Facility rate
34.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
50
Denominator
142
Facility rate
35.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
161
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.653
Comparative performance category
No Different than the National Benchmark
Patient days
4,295
Predicted number of infections (B)
1.812
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
156
Number of health care workers
624
Rate of flu vaccination
25.0
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
192
Unadjusted potentially preventable readmission rate
5.73
Risk-standardized potentially preventable readmission rate (RSRR)
8.65
Lower limit of the 95% confidence interval on the RSRR
6.76
Upper limit of the 95% confidence interval on the RSRR
11.32
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
210
Unadjusted potentially preventable readmission rate
7.14
Risk-standardized potentially preventable readmission rate (RSRR)
6.34
Lower limit of the 95% confidence interval on the RSRR
4.49
Upper limit of the 95% confidence interval on the RSRR
9.37
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)
120
Number of eligible stays
167
Observed discharge to community rate
71.86
Risk-standardized discharge to community rate
67.46
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.72
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.22
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
167
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
159
Denominator
161
Facility rate
98.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
161
Facility observed rate
0.6
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
674
Number of health care workers
878
Rate of COVID-19 vaccination
76.8