St Vincents Mercy Medical Center


About the Facility

CMS Certification Number (CCN)
36T112
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
2213 Cherry St
Toledo, Ohio 43608
Phone Number
(419) 251-3368

Facility Medical Condition Statistics

All other conditions
64
Brain disease or condition (non-traumatic)
11
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
35
Hip or knee replacement, amputation or other bone or joint condition
40
Nervous system disorder (excluding stroke)
11
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
65

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
2.387
Comparative performance category
No Different than the National Benchmark
Catheter days
461
Predicted number of infections (B)
1.255
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
244
Denominator
246
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
10.5
Denominator
209
Average observed change score
12.2
Change in patients ability to move around
Average risk-adjusted change score
27.8
Denominator
209
Average observed change score
30.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
89
Denominator
209
Facility rate
42.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
98
Denominator
209
Facility rate
46.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
246
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
1.125
Comparative performance category
No Different than the National Benchmark
Patient days
5,162
Predicted number of infections (B)
2.664
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
112
Number of health care workers
192
Rate of flu vaccination
58.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
4
Number of eligible stays
65
Unadjusted potentially preventable readmission rate
6.15
Risk-standardized potentially preventable readmission rate (RSRR)
8.33
Lower limit of the 95% confidence interval on the RSRR
6.27
Upper limit of the 95% confidence interval on the RSRR
10.81
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
71
Unadjusted potentially preventable readmission rate
4.23
Risk-standardized potentially preventable readmission rate (RSRR)
4.75
Lower limit of the 95% confidence interval on the RSRR
3.29
Upper limit of the 95% confidence interval on the RSRR
7.45
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)
47
Number of eligible stays
70
Observed discharge to community rate
67.14
Risk-standardized discharge to community rate
69.13
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.44
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.44
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
65
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
245
Denominator
246
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
245
Facility observed rate
3.3
Facility risk-adjusted rate
3.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
125
Number of health care workers
146
Rate of COVID-19 vaccination
85.6