Mercy Medical Center


About the Facility

CMS Certification Number (CCN)
33T259
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
1000 N.village Ave.
Phone Number
(516) 705-2216

Facility Medical Condition Statistics

All other conditions
63
Brain disease or condition (non-traumatic)
29
Brain injury (traumatic)
16
Hip or femur fracture
65
Hip or knee replacement, amputation or other bone or joint condition
62
Nervous system disorder (excluding stroke)
89
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
169

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
1.300
Comparative performance category
No Different than the National Benchmark
Catheter days
846
Predicted number of infections (B)
2.305
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
510
Denominator
510
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
7.4
Denominator
459
Average observed change score
8.1
Change in patients ability to move around
Average risk-adjusted change score
20.3
Denominator
459
Average observed change score
22.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
93
Denominator
459
Facility rate
20.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
92
Denominator
459
Facility rate
20.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
510
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.157
SIR 95% confidence interval - upper limit
1.682
Comparative performance category
No Different than the National Benchmark
Patient days
10,905
Predicted number of infections (B)
4.855
Number of infections reported (A)
3
SIR (A/B)
0.618
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
51
Number of health care workers
98
Rate of flu vaccination
52.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
47
Number of eligible stays
714
Unadjusted potentially preventable readmission rate
6.58
Risk-standardized potentially preventable readmission rate (RSRR)
8.08
Lower limit of the 95% confidence interval on the RSRR
6.68
Upper limit of the 95% confidence interval on the RSRR
9.90
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
37
Number of eligible stays
802
Unadjusted potentially preventable readmission rate
4.61
Risk-standardized potentially preventable readmission rate (RSRR)
4.78
Lower limit of the 95% confidence interval on the RSRR
3.84
Upper limit of the 95% confidence interval on the RSRR
6.13
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)
331
Number of eligible stays
639
Observed discharge to community rate
51.80
Risk-standardized discharge to community rate
55.86
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
52.01
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.76
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.19
Number of eligible episodes
657
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
509
Denominator
510
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
509
Facility observed rate
0.2
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
237
Number of health care workers
237
Rate of COVID-19 vaccination
100.0