Mercy Rehabilitation Hospital St Louis


About the Facility

CMS Certification Number (CCN)
263029
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
14561 North Outer Forty
Phone Number
(314) 889-2704

Facility Medical Condition Statistics

All other conditions
326
Brain disease or condition (non-traumatic)
114
Brain injury (traumatic)
85
Hip or femur fracture
175
Hip or knee replacement, amputation or other bone or joint condition
269
Nervous system disorder (excluding stroke)
104
Spinal cord disease or condition (non-traumatic)
40
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
265

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
0.855
Comparative performance category
Better than the National Benchmark
Catheter days
2,631
Predicted number of infections (B)
3.503
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
1,362
Denominator
1,363
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
14.2
Denominator
1,204
Average observed change score
16.3
Change in patients ability to move around
Average risk-adjusted change score
35.1
Denominator
1,204
Average observed change score
37.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
919
Denominator
1,204
Facility rate
76.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
884
Denominator
1,204
Facility rate
73.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
4
Denominator
1,363
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.307
SIR 95% confidence interval - upper limit
1.255
Comparative performance category
No Different than the National Benchmark
Patient days
22,240
Predicted number of infections (B)
12.103
Number of infections reported (A)
8
SIR (A/B)
0.661
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
Not Available
Number of health care workers
Not Available
Rate of flu vaccination
Not Available
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
135
Number of eligible stays
1,606
Unadjusted potentially preventable readmission rate
8.41
Risk-standardized potentially preventable readmission rate (RSRR)
8.45
Lower limit of the 95% confidence interval on the RSRR
7.32
Upper limit of the 95% confidence interval on the RSRR
9.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
91
Number of eligible stays
1,799
Unadjusted potentially preventable readmission rate
5.06
Risk-standardized potentially preventable readmission rate (RSRR)
4.87
Lower limit of the 95% confidence interval on the RSRR
4.01
Upper limit of the 95% confidence interval on the RSRR
5.71
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)
918
Number of eligible stays
1,481
Observed discharge to community rate
61.99
Risk-standardized discharge to community rate
64.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.14
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.80
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
1,590
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,360
Denominator
1,363
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
1,361
Facility observed rate
0.6
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
Not Available
Number of health care workers
Not Available
Rate of COVID-19 vaccination
Not Available