Multicare Good Samaritan Hospital


About the Facility

CMS Certification Number (CCN)
50T079
Ownership Type
Non-profit
CMS Region
Seattle
Certification Date
Address
401 15th Ave Se
Phone Number
(253) 697-1663

Facility Medical Condition Statistics

All other conditions
24
Brain disease or condition (non-traumatic)
21
Brain injury (traumatic)
20
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
40
Nervous system disorder (excluding stroke)
14
Spinal cord disease or condition (non-traumatic)
18
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
156

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.012
SIR 95% confidence interval - upper limit
1.225
Comparative performance category
No Different than the National Benchmark
Catheter days
1,478
Predicted number of infections (B)
4.027
Number of infections reported (A)
1
SIR (A/B)
0.248
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
298
Denominator
298
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
261
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
29.1
Denominator
261
Average observed change score
28.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
142
Denominator
261
Facility rate
54.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
134
Denominator
261
Facility rate
51.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
298
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
0.553
Comparative performance category
Better than the National Benchmark
Patient days
10,503
Predicted number of infections (B)
5.420
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
271
Number of health care workers
292
Rate of flu vaccination
92.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
21
Number of eligible stays
313
Unadjusted potentially preventable readmission rate
6.71
Risk-standardized potentially preventable readmission rate (RSRR)
8.34
Lower limit of the 95% confidence interval on the RSRR
6.67
Upper limit of the 95% confidence interval on the RSRR
10.45
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
14
Number of eligible stays
332
Unadjusted potentially preventable readmission rate
4.22
Risk-standardized potentially preventable readmission rate (RSRR)
4.45
Lower limit of the 95% confidence interval on the RSRR
2.99
Upper limit of the 95% confidence interval on the RSRR
5.77
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)
189
Number of eligible stays
259
Observed discharge to community rate
72.97
Risk-standardized discharge to community rate
74.55
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.46
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.02
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
275
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
295
Denominator
298
Facility rate
99.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
296
Facility observed rate
2.0
Facility risk-adjusted rate
2.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
238
Number of health care workers
253
Rate of COVID-19 vaccination
94.1