St Charles Hospital


About the Facility

CMS Certification Number (CCN)
33T246
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
200 Belle Terre Road
Phone Number
(631) 474-6826

Facility Medical Condition Statistics

All other conditions
95
Brain disease or condition (non-traumatic)
58
Brain injury (traumatic)
51
Hip or femur fracture
101
Hip or knee replacement, amputation or other bone or joint condition
240
Nervous system disorder (excluding stroke)
14
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
12
Stroke
270

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.314
SIR 95% confidence interval - upper limit
3.359
Comparative performance category
No Different than the National Benchmark
Catheter days
893
Predicted number of infections (B)
2.431
Number of infections reported (A)
3
SIR (A/B)
1.234
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
866
Denominator
866
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.6
Denominator
782
Average observed change score
10.0
Change in patients ability to move around
Average risk-adjusted change score
25.4
Denominator
782
Average observed change score
30.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
242
Denominator
782
Facility rate
30.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
329
Denominator
782
Facility rate
42.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
866
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
0.548
Comparative performance category
Better than the National Benchmark
Patient days
13,486
Predicted number of infections (B)
5.463
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
133
Number of health care workers
226
Rate of flu vaccination
58.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
46
Number of eligible stays
976
Unadjusted potentially preventable readmission rate
4.71
Risk-standardized potentially preventable readmission rate (RSRR)
8.10
Lower limit of the 95% confidence interval on the RSRR
6.62
Upper limit of the 95% confidence interval on the RSRR
9.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
24
Number of eligible stays
1,054
Unadjusted potentially preventable readmission rate
2.28
Risk-standardized potentially preventable readmission rate (RSRR)
3.91
Lower limit of the 95% confidence interval on the RSRR
3.06
Upper limit of the 95% confidence interval on the RSRR
5.24
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)
582
Number of eligible stays
895
Observed discharge to community rate
65.03
Risk-standardized discharge to community rate
60.62
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.08
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.16
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
919
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
862
Denominator
866
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
865
Facility observed rate
1.3
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
226
Number of health care workers
226
Rate of COVID-19 vaccination
100.0