St. Charles Medical Center


About the Facility

CMS Certification Number (CCN)
38T047
Ownership Type
Non-profit
CMS Region
Seattle
Certification Date
Address
2500 Ne Neff Road
Bend, Oregon 97701
Phone Number
(541) 706-2611

Facility Medical Condition Statistics

All other conditions
23
Brain disease or condition (non-traumatic)
20
Brain injury (traumatic)
12
Hip or femur fracture
25
Hip or knee replacement, amputation or other bone or joint condition
45
Nervous system disorder (excluding stroke)
13
Spinal cord disease or condition (non-traumatic)
17
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
75

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
166
Predicted number of infections (B)
0.453
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
231
Denominator
231
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.2
Denominator
210
Average observed change score
11.7
Change in patients ability to move around
Average risk-adjusted change score
28.3
Denominator
210
Average observed change score
30.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
113
Denominator
210
Facility rate
53.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
110
Denominator
210
Facility rate
52.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
231
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.660
Comparative performance category
No Different than the National Benchmark
Patient days
3,773
Predicted number of infections (B)
1.805
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
24
Number of health care workers
72
Rate of flu vaccination
33.3
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
265
Unadjusted potentially preventable readmission rate
1.51
Risk-standardized potentially preventable readmission rate (RSRR)
6.88
Lower limit of the 95% confidence interval on the RSRR
5.32
Upper limit of the 95% confidence interval on the RSRR
8.74
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
286
Unadjusted potentially preventable readmission rate
2.80
Risk-standardized potentially preventable readmission rate (RSRR)
4.54
Lower limit of the 95% confidence interval on the RSRR
2.99
Upper limit of the 95% confidence interval on the RSRR
6.98
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)
192
Number of eligible stays
231
Observed discharge to community rate
83.12
Risk-standardized discharge to community rate
73.99
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.05
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.45
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.84
Number of eligible episodes
255
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
222
Denominator
231
Facility rate
96.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
231
Facility observed rate
2.2
Facility risk-adjusted rate
3.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
45
Number of health care workers
46
Rate of COVID-19 vaccination
97.8