Faxton-St. Lukes Healthcare


About the Facility

CMS Certification Number (CCN)
33T044
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
1650 Champlin Avenue
Phone Number
(315) 624-8759

Facility Medical Condition Statistics

All other conditions
26
Brain disease or condition (non-traumatic)
11
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
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
-
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
73

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
526
Predicted number of infections (B)
0.998
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
130
Denominator
133
Facility rate
97.7
Change in patients ability to care for themselves
Average risk-adjusted change score
10.8
Denominator
108
Average observed change score
11.2
Change in patients ability to move around
Average risk-adjusted change score
28.4
Denominator
108
Average observed change score
29.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
61
Denominator
108
Facility rate
56.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
56
Denominator
108
Facility rate
51.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
133
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
2.098
Comparative performance category
No Different than the National Benchmark
Patient days
4,373
Predicted number of infections (B)
1.428
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
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
9
Number of eligible stays
134
Unadjusted potentially preventable readmission rate
6.72
Risk-standardized potentially preventable readmission rate (RSRR)
8.74
Lower limit of the 95% confidence interval on the RSRR
6.64
Upper limit of the 95% confidence interval on the RSRR
11.24
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
142
Unadjusted potentially preventable readmission rate
4.93
Risk-standardized potentially preventable readmission rate (RSRR)
5.27
Lower limit of the 95% confidence interval on the RSRR
3.54
Upper limit of the 95% confidence interval on the RSRR
7.60
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)
88
Number of eligible stays
131
Observed discharge to community rate
67.18
Risk-standardized discharge to community rate
64.90
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.73
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
111
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
123
Denominator
133
Facility rate
92.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
133
Facility observed rate
1.5
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
71
Number of health care workers
71
Rate of COVID-19 vaccination
100.0