Southcoast Hospitals Group Inc.


About the Facility

CMS Certification Number (CCN)
22T074
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
Charlton Memorial Hospital
363 Highland Avenue
Phone Number
(508) 973-7554

Facility Medical Condition Statistics

All other conditions
157
Brain disease or condition (non-traumatic)
24
Brain injury (traumatic)
13
Hip or femur fracture
47
Hip or knee replacement, amputation or other bone or joint condition
55
Nervous system disorder (excluding stroke)
23
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
119

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
336
Predicted number of infections (B)
0.915
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
451
Denominator
451
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.7
Denominator
382
Average observed change score
7.6
Change in patients ability to move around
Average risk-adjusted change score
23.5
Denominator
384
Average observed change score
25.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
125
Denominator
384
Facility rate
32.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
141
Denominator
384
Facility rate
36.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
451
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.187
SIR 95% confidence interval - upper limit
1.998
Comparative performance category
No Different than the National Benchmark
Patient days
7,920
Predicted number of infections (B)
4.087
Number of infections reported (A)
3
SIR (A/B)
0.734
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
49
Number of health care workers
51
Rate of flu vaccination
96.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
28
Number of eligible stays
440
Unadjusted potentially preventable readmission rate
6.36
Risk-standardized potentially preventable readmission rate (RSRR)
7.99
Lower limit of the 95% confidence interval on the RSRR
6.37
Upper limit of the 95% confidence interval on the RSRR
9.94
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
489
Unadjusted potentially preventable readmission rate
3.68
Risk-standardized potentially preventable readmission rate (RSRR)
4.73
Lower limit of the 95% confidence interval on the RSRR
3.35
Upper limit of the 95% confidence interval on the RSRR
6.52
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)
232
Number of eligible stays
392
Observed discharge to community rate
59.18
Risk-standardized discharge to community rate
57.39
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.11
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.50
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
413
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
252
Denominator
451
Facility rate
55.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
448
Facility observed rate
2.5
Facility risk-adjusted rate
3.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
29
Number of health care workers
29
Rate of COVID-19 vaccination
100.0