Kenmore Mercy Hospital


About the Facility

CMS Certification Number (CCN)
33T102
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
2950 Elmwood Ave
Phone Number
(716) 510-9029

Facility Medical Condition Statistics

All other conditions
76
Brain disease or condition (non-traumatic)
29
Brain injury (traumatic)
18
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
22
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
155

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
1.270
Comparative performance category
No Different than the National Benchmark
Catheter days
866
Predicted number of infections (B)
2.359
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
331
Denominator
331
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.7
Denominator
268
Average observed change score
11.7
Change in patients ability to move around
Average risk-adjusted change score
31.6
Denominator
268
Average observed change score
35.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
132
Denominator
268
Facility rate
49.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
153
Denominator
268
Facility rate
57.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
331
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.085
SIR 95% confidence interval - upper limit
1.668
Comparative performance category
No Different than the National Benchmark
Patient days
7,679
Predicted number of infections (B)
3.962
Number of infections reported (A)
2
SIR (A/B)
0.505
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
32
Number of health care workers
101
Rate of flu vaccination
31.7
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
217
Unadjusted potentially preventable readmission rate
4.15
Risk-standardized potentially preventable readmission rate (RSRR)
7.48
Lower limit of the 95% confidence interval on the RSRR
5.86
Upper limit of the 95% confidence interval on the RSRR
9.43
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
240
Unadjusted potentially preventable readmission rate
5.00
Risk-standardized potentially preventable readmission rate (RSRR)
4.97
Lower limit of the 95% confidence interval on the RSRR
3.74
Upper limit of the 95% confidence interval on the RSRR
6.73
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)
119
Number of eligible stays
191
Observed discharge to community rate
62.30
Risk-standardized discharge to community rate
64.01
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.74
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.61
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
181
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
326
Denominator
331
Facility rate
98.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
330
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
90
Number of health care workers
90
Rate of COVID-19 vaccination
100.0