About the Facility
- CMS Certification Number (CCN)
- 38T061
- Ownership Type
- Non-profit
- CMS Region
- Seattle
- Certification Date
- Address
4805 Ne Glisan
- Phone Number
- (503) 215-5710
Facility Medical Condition Statistics
- All other conditions
- 21
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 11
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 127
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
- 191
- Predicted number of infections (B)
- 0.518
- 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
- 251
- Denominator
- 251
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.8
- Denominator
- 220
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.2
- Denominator
- 220
- Average observed change score
- 23.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 79
- Denominator
- 220
- Facility rate
- 35.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 65
- Denominator
- 220
- Facility rate
- 29.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 251
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.049
- SIR 95% confidence interval - upper limit
- 0.975
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 17,050
- Predicted number of infections (B)
- 6.778
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.295
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 30
- Number of health care workers
- 41
- Rate of flu vaccination
- 73.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 6
- Number of eligible stays
- 132
- Unadjusted potentially preventable readmission rate
- 4.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.23
- Lower limit of the 95% confidence interval on the RSRR
- 6.30
- Upper limit of the 95% confidence interval on the RSRR
- 10.83
- 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
- 142
- Unadjusted potentially preventable readmission rate
- 1.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.16
- Lower limit of the 95% confidence interval on the RSRR
- 2.72
- Upper limit of the 95% confidence interval on the RSRR
- 6.60
- 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)
- 99
- Number of eligible stays
- 116
- Observed discharge to community rate
- 85.34
- Risk-standardized discharge to community rate
- 77.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.89
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 82.86
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.77
- Number of eligible episodes
- 126
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 247
- Denominator
- 251
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 251
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 42
- Rate of COVID-19 vaccination
- 90.5