Nassau University Medical Center


About the Facility

CMS Certification Number (CCN)
33T027
Ownership Type
Government
CMS Region
New York
Certification Date
Address
2201 Hempstead Turnpike
Phone Number
(516) 572-6713

Facility Medical Condition Statistics

All other conditions
19
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
15
Hip or femur fracture
70
Hip or knee replacement, amputation or other bone or joint condition
46
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
36

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
262
Predicted number of infections (B)
0.379
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
195
Denominator
195
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.7
Denominator
152
Average observed change score
10.5
Change in patients ability to move around
Average risk-adjusted change score
31.6
Denominator
152
Average observed change score
35.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
45
Denominator
152
Facility rate
29.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
88
Denominator
152
Facility rate
57.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
195
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.036
SIR 95% confidence interval - upper limit
3.553
Comparative performance category
No Different than the National Benchmark
Patient days
4,273
Predicted number of infections (B)
1.388
Number of infections reported (A)
1
SIR (A/B)
0.720
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
36
Number of health care workers
96
Rate of flu vaccination
37.5
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
271
Unadjusted potentially preventable readmission rate
4.80
Risk-standardized potentially preventable readmission rate (RSRR)
8.30
Lower limit of the 95% confidence interval on the RSRR
6.41
Upper limit of the 95% confidence interval on the RSRR
10.62
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
28
Number of eligible stays
321
Unadjusted potentially preventable readmission rate
8.72
Risk-standardized potentially preventable readmission rate (RSRR)
8.37
Lower limit of the 95% confidence interval on the RSRR
6.31
Upper limit of the 95% confidence interval on the RSRR
10.82
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
108
Number of eligible stays
259
Observed discharge to community rate
41.70
Risk-standardized discharge to community rate
45.03
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
40.32
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
50.34
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.10
Number of eligible episodes
243
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
195
Denominator
195
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
195
Facility observed rate
1.5
Facility risk-adjusted rate
1.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
104
Number of health care workers
104
Rate of COVID-19 vaccination
100.0