Kaleida Health


About the Facility

CMS Certification Number (CCN)
33T005
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
100 High St.
Phone Number
(716) 859-2556

Facility Medical Condition Statistics

All other conditions
56
Brain disease or condition (non-traumatic)
34
Brain injury (traumatic)
20
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
21
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
194

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.280
SIR 95% confidence interval - upper limit
2.998
Comparative performance category
No Different than the National Benchmark
Catheter days
999
Predicted number of infections (B)
2.723
Number of infections reported (A)
3
SIR (A/B)
1.102
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
375
Denominator
375
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.2
Denominator
296
Average observed change score
9.4
Change in patients ability to move around
Average risk-adjusted change score
24.4
Denominator
296
Average observed change score
26.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
106
Denominator
296
Facility rate
35.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
106
Denominator
296
Facility rate
35.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
375
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.009
SIR 95% confidence interval - upper limit
0.935
Comparative performance category
Better than the National Benchmark
Patient days
10,219
Predicted number of infections (B)
5.273
Number of infections reported (A)
1
SIR (A/B)
0.190
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
25
Number of health care workers
57
Rate of flu vaccination
43.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
11
Number of eligible stays
206
Unadjusted potentially preventable readmission rate
5.34
Risk-standardized potentially preventable readmission rate (RSRR)
8.02
Lower limit of the 95% confidence interval on the RSRR
6.31
Upper limit of the 95% confidence interval on the RSRR
10.21
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
9
Number of eligible stays
237
Unadjusted potentially preventable readmission rate
3.80
Risk-standardized potentially preventable readmission rate (RSRR)
4.60
Lower limit of the 95% confidence interval on the RSRR
3.44
Upper limit of the 95% confidence interval on the RSRR
6.50
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)
122
Number of eligible stays
191
Observed discharge to community rate
63.87
Risk-standardized discharge to community rate
65.48
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.71
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.66
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
179
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
373
Denominator
375
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
13
Denominator
374
Facility observed rate
3.5
Facility risk-adjusted rate
4.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
135
Number of health care workers
135
Rate of COVID-19 vaccination
100.0