Lima Memorial Health System


About the Facility

CMS Certification Number (CCN)
36T009
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1001 Bellefontaine Ave.
Lima, Ohio 45804
Phone Number
(419) 998-4542

Facility Medical Condition Statistics

All other conditions
62
Brain disease or condition (non-traumatic)
22
Brain injury (traumatic)
12
Hip or femur fracture
27
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
15
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
41

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
283
Predicted number of infections (B)
0.586
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
195
Denominator
195
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.5
Denominator
157
Average observed change score
9.1
Change in patients ability to move around
Average risk-adjusted change score
23.9
Denominator
157
Average observed change score
23.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
65
Denominator
157
Facility rate
41.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
56
Denominator
157
Facility rate
35.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
195
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
1.608
Comparative performance category
No Different than the National Benchmark
Patient days
2,967
Predicted number of infections (B)
1.863
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
13
Number of health care workers
20
Rate of flu vaccination
65.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
25
Number of eligible stays
345
Unadjusted potentially preventable readmission rate
7.25
Risk-standardized potentially preventable readmission rate (RSRR)
8.11
Lower limit of the 95% confidence interval on the RSRR
6.63
Upper limit of the 95% confidence interval on the RSRR
10.06
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
20
Number of eligible stays
385
Unadjusted potentially preventable readmission rate
5.19
Risk-standardized potentially preventable readmission rate (RSRR)
5.41
Lower limit of the 95% confidence interval on the RSRR
3.55
Upper limit of the 95% confidence interval on the RSRR
7.50
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)
191
Number of eligible stays
308
Observed discharge to community rate
62.01
Risk-standardized discharge to community rate
60.54
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.14
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.70
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
348
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
193
Denominator
195
Facility rate
99.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
194
Facility observed rate
0.5
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
12
Number of health care workers
24
Rate of COVID-19 vaccination
50.0