Evergreen Healthcare


About the Facility

CMS Certification Number (CCN)
50T124
Ownership Type
Government
CMS Region
Seattle
Certification Date
Address
12040 Ne 128 St.
Phone Number
(425) 899-2545

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
19
Brain injury (traumatic)
12
Hip or femur fracture
16
Hip or knee replacement, amputation or other bone or joint condition
12
Nervous system disorder (excluding stroke)
30
Spinal cord disease or condition (non-traumatic)
19
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
109

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
299
Predicted number of infections (B)
0.815
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
227
Denominator
227
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.5
Denominator
205
Average observed change score
10.2
Change in patients ability to move around
Average risk-adjusted change score
25.9
Denominator
205
Average observed change score
28.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
90
Denominator
205
Facility rate
43.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
86
Denominator
205
Facility rate
42.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
227
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.033
SIR 95% confidence interval - upper limit
3.241
Comparative performance category
No Different than the National Benchmark
Patient days
3,949
Predicted number of infections (B)
1.522
Number of infections reported (A)
1
SIR (A/B)
0.657
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
28
Number of health care workers
31
Rate of flu vaccination
90.3
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
197
Unadjusted potentially preventable readmission rate
2.03
Risk-standardized potentially preventable readmission rate (RSRR)
7.58
Lower limit of the 95% confidence interval on the RSRR
5.74
Upper limit of the 95% confidence interval on the RSRR
9.94
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
205
Unadjusted potentially preventable readmission rate
0.49
Risk-standardized potentially preventable readmission rate (RSRR)
3.81
Lower limit of the 95% confidence interval on the RSRR
2.63
Upper limit of the 95% confidence interval on the RSRR
5.79
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)
137
Number of eligible stays
169
Observed discharge to community rate
81.07
Risk-standardized discharge to community rate
72.77
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.95
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.67
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.83
Number of eligible episodes
188
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
202
Denominator
227
Facility rate
89.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
227
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
24
Number of health care workers
26
Rate of COVID-19 vaccination
92.3