Cheshire Medical Center


About the Facility

CMS Certification Number (CCN)
30T019
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
580 Court St
Phone Number
(603) 354-5454

Facility Medical Condition Statistics

All other conditions
23
Brain disease or condition (non-traumatic)
18
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
22
Hip or knee replacement, amputation or other bone or joint condition
21
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
45

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
83
Predicted number of infections (B)
0.164
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
145
Denominator
145
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.4
Denominator
124
Average observed change score
11.8
Change in patients ability to move around
Average risk-adjusted change score
26.7
Denominator
124
Average observed change score
27.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
65
Denominator
124
Facility rate
52.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
58
Denominator
124
Facility rate
46.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
145
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
2.898
Comparative performance category
No Different than the National Benchmark
Patient days
2,759
Predicted number of infections (B)
1.034
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
52
Number of health care workers
52
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
9
Number of eligible stays
166
Unadjusted potentially preventable readmission rate
5.42
Risk-standardized potentially preventable readmission rate (RSRR)
8.16
Lower limit of the 95% confidence interval on the RSRR
6.19
Upper limit of the 95% confidence interval on the RSRR
10.42
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
180
Unadjusted potentially preventable readmission rate
3.89
Risk-standardized potentially preventable readmission rate (RSRR)
4.70
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
7.30
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)
95
Number of eligible stays
140
Observed discharge to community rate
67.86
Risk-standardized discharge to community rate
67.27
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.71
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.35
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
177
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
143
Denominator
145
Facility rate
98.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
143
Facility observed rate
3.5
Facility risk-adjusted rate
3.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
42
Number of health care workers
43
Rate of COVID-19 vaccination
97.7