Licking Memorial Hospital


About the Facility

CMS Certification Number (CCN)
36T218
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1320 W Main St
Newark, Ohio 43055
Phone Number
(220) 564-1863

Facility Medical Condition Statistics

All other conditions
20
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
37
Hip or knee replacement, amputation or other bone or joint condition
29
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
28

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
61
Predicted number of infections (B)
0.100
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
129
Denominator
130
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
12.8
Denominator
116
Average observed change score
13.9
Change in patients ability to move around
Average risk-adjusted change score
23.5
Denominator
116
Average observed change score
25.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
79
Denominator
116
Facility rate
68.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
45
Denominator
116
Facility rate
38.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
130
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
Not Available
Comparative performance category
Not Available
Patient days
2,123
Predicted number of infections (B)
0.621
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
Not Available
Number of health care workers
Not Available
Rate of flu vaccination
Not Available
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
133
Unadjusted potentially preventable readmission rate
3.01
Risk-standardized potentially preventable readmission rate (RSRR)
8.12
Lower limit of the 95% confidence interval on the RSRR
6.21
Upper limit of the 95% confidence interval on the RSRR
10.84
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
2
Number of eligible stays
139
Unadjusted potentially preventable readmission rate
1.44
Risk-standardized potentially preventable readmission rate (RSRR)
4.46
Lower limit of the 95% confidence interval on the RSRR
2.86
Upper limit of the 95% confidence interval on the RSRR
7.01
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)
90
Number of eligible stays
121
Observed discharge to community rate
74.38
Risk-standardized discharge to community rate
66.14
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.85
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.04
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.78
Number of eligible episodes
136
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
130
Denominator
130
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
130
Facility observed rate
2.3
Facility risk-adjusted rate
3.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
10
Number of health care workers
15
Rate of COVID-19 vaccination
66.7