Chi Franciscan Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
503026
Ownership Type
For Profit
CMS Region
Seattle
Certification Date
Address
815 S Vassault St
Phone Number
(253) 444-3320

Facility Medical Condition Statistics

All other conditions
85
Brain disease or condition (non-traumatic)
39
Brain injury (traumatic)
25
Hip or femur fracture
39
Hip or knee replacement, amputation or other bone or joint condition
86
Nervous system disorder (excluding stroke)
30
Spinal cord disease or condition (non-traumatic)
29
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
351

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.023
SIR 95% confidence interval - upper limit
2.232
Comparative performance category
No Different than the National Benchmark
Catheter days
1,084
Predicted number of infections (B)
2.210
Number of infections reported (A)
1
SIR (A/B)
0.452
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
674
Denominator
674
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.7
Denominator
574
Average observed change score
16.0
Change in patients ability to move around
Average risk-adjusted change score
35.7
Denominator
573
Average observed change score
36.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
428
Denominator
574
Facility rate
74.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
415
Denominator
574
Facility rate
72.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
674
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
0.624
Comparative performance category
Better than the National Benchmark
Patient days
13,101
Predicted number of infections (B)
4.797
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
181
Number of health care workers
194
Rate of flu vaccination
93.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
32
Number of eligible stays
752
Unadjusted potentially preventable readmission rate
4.26
Risk-standardized potentially preventable readmission rate (RSRR)
7.06
Lower limit of the 95% confidence interval on the RSRR
5.77
Upper limit of the 95% confidence interval on the RSRR
8.78
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
27
Number of eligible stays
807
Unadjusted potentially preventable readmission rate
3.35
Risk-standardized potentially preventable readmission rate (RSRR)
4.24
Lower limit of the 95% confidence interval on the RSRR
3.27
Upper limit of the 95% confidence interval on the RSRR
5.96
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)
501
Number of eligible stays
685
Observed discharge to community rate
73.14
Risk-standardized discharge to community rate
73.00
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.84
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.38
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
737
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
665
Denominator
674
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
673
Facility observed rate
0.9
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
147
Number of health care workers
151
Rate of COVID-19 vaccination
97.4