St. Mary Medical Center Inc


About the Facility

CMS Certification Number (CCN)
15T034
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1500 S. Lake Park Avenue
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
148
Brain disease or condition (non-traumatic)
57
Brain injury (traumatic)
24
Hip or femur fracture
18
Hip or knee replacement, amputation or other bone or joint condition
18
Nervous system disorder (excluding stroke)
45
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
92

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
2.249
Comparative performance category
No Different than the National Benchmark
Catheter days
701
Predicted number of infections (B)
1.332
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
403
Denominator
403
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.2
Denominator
364
Average observed change score
15.2
Change in patients ability to move around
Average risk-adjusted change score
41.3
Denominator
364
Average observed change score
41.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
322
Denominator
364
Facility rate
88.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
337
Denominator
364
Facility rate
92.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
403
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
1.891
Comparative performance category
No Different than the National Benchmark
Patient days
4,852
Predicted number of infections (B)
1.584
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
754
Number of health care workers
773
Rate of flu vaccination
97.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
60
Number of eligible stays
513
Unadjusted potentially preventable readmission rate
11.70
Risk-standardized potentially preventable readmission rate (RSRR)
9.03
Lower limit of the 95% confidence interval on the RSRR
7.60
Upper limit of the 95% confidence interval on the RSRR
10.80
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
24
Number of eligible stays
559
Unadjusted potentially preventable readmission rate
4.29
Risk-standardized potentially preventable readmission rate (RSRR)
4.31
Lower limit of the 95% confidence interval on the RSRR
3.29
Upper limit of the 95% confidence interval on the RSRR
5.79
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)
316
Number of eligible stays
450
Observed discharge to community rate
70.22
Risk-standardized discharge to community rate
71.16
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.08
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.94
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
465
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
403
Denominator
403
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
402
Facility observed rate
1.5
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
651
Number of health care workers
669
Rate of COVID-19 vaccination
97.3