Healthsource Saginaw


About the Facility

CMS Certification Number (CCN)
23T275
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
3340 Hospital Rd
Phone Number
(989) 790-7812

Facility Medical Condition Statistics

All other conditions
24
Brain disease or condition (non-traumatic)
15
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
13
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
-
Stroke
39

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
75
Predicted number of infections (B)
0.204
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
124
Denominator
124
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.6
Denominator
104
Average observed change score
12.8
Change in patients ability to move around
Average risk-adjusted change score
27.9
Denominator
104
Average observed change score
29.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
54
Denominator
104
Facility rate
51.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
47
Denominator
104
Facility rate
45.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
124
Facility rate
0.8
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.729
Comparative performance category
No Different than the National Benchmark
Patient days
4,496
Predicted number of infections (B)
1.732
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
38
Number of health care workers
64
Rate of flu vaccination
59.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
166
Unadjusted potentially preventable readmission rate
7.83
Risk-standardized potentially preventable readmission rate (RSRR)
8.74
Lower limit of the 95% confidence interval on the RSRR
6.63
Upper limit of the 95% confidence interval on the RSRR
10.98
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
179
Unadjusted potentially preventable readmission rate
3.91
Risk-standardized potentially preventable readmission rate (RSRR)
4.92
Lower limit of the 95% confidence interval on the RSRR
3.48
Upper limit of the 95% confidence interval on the RSRR
6.74
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)
89
Number of eligible stays
151
Observed discharge to community rate
58.94
Risk-standardized discharge to community rate
60.03
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.61
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.89
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
157
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
119
Denominator
124
Facility rate
96.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
124
Facility observed rate
0.8
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
24
Number of health care workers
27
Rate of COVID-19 vaccination
88.9