Encompass Health Rehab Hospital of Toledo


About the Facility

CMS Certification Number (CCN)
363043
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
4647 Monroe Street
Toledo, Ohio 43623
Phone Number
(567) 290-3521

Facility Medical Condition Statistics

All other conditions
134
Brain disease or condition (non-traumatic)
74
Brain injury (traumatic)
24
Hip or femur fracture
33
Hip or knee replacement, amputation or other bone or joint condition
115
Nervous system disorder (excluding stroke)
164
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
109

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.050
SIR 95% confidence interval - upper limit
4.888
Comparative performance category
No Different than the National Benchmark
Catheter days
809
Predicted number of infections (B)
1.009
Number of infections reported (A)
1
SIR (A/B)
0.991
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
662
Denominator
663
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
568
Average observed change score
13.4
Change in patients ability to move around
Average risk-adjusted change score
32.8
Denominator
568
Average observed change score
31.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
409
Denominator
568
Facility rate
72.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
408
Denominator
568
Facility rate
71.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
663
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.079
SIR 95% confidence interval - upper limit
1.566
Comparative performance category
No Different than the National Benchmark
Patient days
10,067
Predicted number of infections (B)
4.220
Number of infections reported (A)
2
SIR (A/B)
0.474
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
185
Number of health care workers
229
Rate of flu vaccination
80.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
52
Number of eligible stays
419
Unadjusted potentially preventable readmission rate
12.41
Risk-standardized potentially preventable readmission rate (RSRR)
9.71
Lower limit of the 95% confidence interval on the RSRR
8.01
Upper limit of the 95% confidence interval on the RSRR
11.42
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
27
Number of eligible stays
461
Unadjusted potentially preventable readmission rate
5.86
Risk-standardized potentially preventable readmission rate (RSRR)
5.58
Lower limit of the 95% confidence interval on the RSRR
4.14
Upper limit of the 95% confidence interval on the RSRR
6.86
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)
269
Number of eligible stays
411
Observed discharge to community rate
65.45
Risk-standardized discharge to community rate
65.06
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.96
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.99
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
424
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
662
Denominator
663
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
663
Facility observed rate
0.9
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
147
Number of health care workers
200
Rate of COVID-19 vaccination
73.5