Mercy Hospital Ada


About the Facility

CMS Certification Number (CCN)
37T020
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
430 North Monte Vista
Ada, Oklahoma 74820
Phone Number
(580) 421-1183

Facility Medical Condition Statistics

All other conditions
27
Brain disease or condition (non-traumatic)
11
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
49
Hip or knee replacement, amputation or other bone or joint condition
16
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)
Data not available for this reporting period.
Stroke
31

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
155
Predicted number of infections (B)
0.223
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
148
Denominator
148
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.4
Denominator
132
Average observed change score
15.8
Change in patients ability to move around
Average risk-adjusted change score
33.8
Denominator
132
Average observed change score
38.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
99
Denominator
132
Facility rate
75.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
93
Denominator
132
Facility rate
70.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
148
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
2,233
Predicted number of infections (B)
0.971
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
15
Number of health care workers
15
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
8
Number of eligible stays
160
Unadjusted potentially preventable readmission rate
5.00
Risk-standardized potentially preventable readmission rate (RSRR)
8.08
Lower limit of the 95% confidence interval on the RSRR
6.33
Upper limit of the 95% confidence interval on the RSRR
10.33
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
173
Unadjusted potentially preventable readmission rate
3.47
Risk-standardized potentially preventable readmission rate (RSRR)
4.72
Lower limit of the 95% confidence interval on the RSRR
3.16
Upper limit of the 95% confidence interval on the RSRR
6.94
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)
104
Number of eligible stays
143
Observed discharge to community rate
72.73
Risk-standardized discharge to community rate
68.74
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.56
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.25
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.03
Number of eligible episodes
154
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
140
Denominator
148
Facility rate
94.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
147
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
13
Number of health care workers
15
Rate of COVID-19 vaccination
86.7