About the Facility
- CMS Certification Number (CCN)
- 38T017
- Ownership Type
- Non-profit
- CMS Region
- Seattle
- Certification Date
- Address
1015 Nw 22nd Avenue
Legacy Good Samaritan Med Ctr
- Phone Number
- (503) 413-6477
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 20
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 19
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- 11
- Stroke
- 195
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
- 209
- Predicted number of infections (B)
- 0.569
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 307
- Denominator
- 307
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 276
- Average observed change score
- 8.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.6
- Denominator
- 276
- Average observed change score
- 22.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 111
- Denominator
- 276
- Facility rate
- 40.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 89
- Denominator
- 276
- Facility rate
- 32.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 307
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.011
- SIR 95% confidence interval - upper limit
- 1.068
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,952
- Predicted number of infections (B)
- 4.619
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.216
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 51
- Number of health care workers
- 57
- Rate of flu vaccination
- 89.5
- 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
- 199
- Unadjusted potentially preventable readmission rate
- 2.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.54
- Lower limit of the 95% confidence interval on the RSRR
- 5.79
- Upper limit of the 95% confidence interval on the RSRR
- 9.87
- 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
- 209
- Unadjusted potentially preventable readmission rate
- 0.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.89
- Lower limit of the 95% confidence interval on the RSRR
- 2.60
- Upper limit of the 95% confidence interval on the RSRR
- 5.78
- 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)
- 140
- Number of eligible stays
- 170
- Observed discharge to community rate
- 82.35
- Risk-standardized discharge to community rate
- 75.66
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 80.21
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.81
- Number of eligible episodes
- 184
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 302
- Denominator
- 307
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 307
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 90
- Number of health care workers
- 90
- Rate of COVID-19 vaccination
- 100.0