Mercy Medical Center


About the Facility

CMS Certification Number (CCN)
36T070
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
Mercy Medical Center
Canton, Ohio 44708
Phone Number
(330) 489-1000

Facility Medical Condition Statistics

All other conditions
56
Brain disease or condition (non-traumatic)
11
Brain injury (traumatic)
13
Hip or femur fracture
16
Hip or knee replacement, amputation or other bone or joint condition
20
Nervous system disorder (excluding stroke)
18
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
60

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
376
Predicted number of infections (B)
0.929
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
212
Denominator
212
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.3
Denominator
189
Average observed change score
10.3
Change in patients ability to move around
Average risk-adjusted change score
24.7
Denominator
189
Average observed change score
27.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
66
Denominator
189
Facility rate
34.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
74
Denominator
189
Facility rate
39.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
212
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.032
SIR 95% confidence interval - upper limit
3.195
Comparative performance category
No Different than the National Benchmark
Patient days
3,655
Predicted number of infections (B)
1.544
Number of infections reported (A)
1
SIR (A/B)
0.648
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
22
Number of health care workers
26
Rate of flu vaccination
84.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
190
Unadjusted potentially preventable readmission rate
6.32
Risk-standardized potentially preventable readmission rate (RSRR)
8.42
Lower limit of the 95% confidence interval on the RSRR
6.58
Upper limit of the 95% confidence interval on the RSRR
10.77
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
4
Number of eligible stays
204
Unadjusted potentially preventable readmission rate
1.96
Risk-standardized potentially preventable readmission rate (RSRR)
4.22
Lower limit of the 95% confidence interval on the RSRR
2.86
Upper limit of the 95% confidence interval on the RSRR
6.00
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)
124
Number of eligible stays
166
Observed discharge to community rate
74.70
Risk-standardized discharge to community rate
67.89
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.50
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.58
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
198
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
184
Denominator
212
Facility rate
86.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
212
Facility observed rate
1.9
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
26
Rate of COVID-19 vaccination
88.5