Ohiohealth Mansfield Rehab Unit


About the Facility

CMS Certification Number (CCN)
36T118
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
335 Glessner Ave
Phone Number
-

Facility Medical Condition Statistics

All other conditions
60
Brain disease or condition (non-traumatic)
23
Brain injury (traumatic)
22
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
13
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
67

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
364
Predicted number of infections (B)
0.991
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
214
Denominator
214
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.2
Denominator
179
Average observed change score
10.2
Change in patients ability to move around
Average risk-adjusted change score
20.6
Denominator
179
Average observed change score
21.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
73
Denominator
179
Facility rate
40.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
34
Denominator
179
Facility rate
19.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
214
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
1.648
Comparative performance category
No Different than the National Benchmark
Patient days
3,523
Predicted number of infections (B)
1.818
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
50
Number of health care workers
61
Rate of flu vaccination
82.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
18
Number of eligible stays
199
Unadjusted potentially preventable readmission rate
9.05
Risk-standardized potentially preventable readmission rate (RSRR)
9.01
Lower limit of the 95% confidence interval on the RSRR
7.07
Upper limit of the 95% confidence interval on the RSRR
11.37
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
223
Unadjusted potentially preventable readmission rate
5.38
Risk-standardized potentially preventable readmission rate (RSRR)
5.16
Lower limit of the 95% confidence interval on the RSRR
3.68
Upper limit of the 95% confidence interval on the RSRR
6.89
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
182
Observed discharge to community rate
68.13
Risk-standardized discharge to community rate
68.10
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.30
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.43
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
187
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
211
Denominator
214
Facility rate
98.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
214
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
62
Number of health care workers
69
Rate of COVID-19 vaccination
89.9