Ascension Sacred Heart Rehabilitation Hospital

Ratings, patient outcomes, and contact information for their location in Mequon, Wisconsin


Patient Ratings
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Address:

ASCENSION SACRED HEART REHABILITATION HOSPITAL
13111 N PORT WASHINGTON RD SECOND FLOOR -
MEQUON, WI 53097 [Ozaukee county]

Phone Number:

(414) 585-1374

Ownership Type:

Non-profit

Medicare Certified on:

07/01/1984

Conditions during the last survey period

Condition Treated
# of Times Treated

Brain disease or condition (non-traumatic)

16

Brain injury (traumatic)

Less than 11

Hip or femur fracture

Less than 11

Hip or knee replacement, amputation or other bone or joint condition

Less than 11

Nervous system disorder (excluding stroke)

Less than 11

Spinal cord disease or condition (non-traumatic)

Less than 11

Spinal cord injury (traumatic)

Not Available

Stroke

65

Patient outcomes at ASCENSION SACRED HEART REHABILITATION HOSPITAL during the last survey period:

(compared to national levels and expectations)
Click to expand each topic and view patient results:
Infections from using a urinary catheter

Lowest estimate for how common catheter infections are: Not Available

Highest estimate for how common catheter infections are: Not Available

How the facility compares to others: Not Available

Days patients had a catheter: 155

Expected number of infections: 0.266

Actual number of infections: 0

Infection ratio compared to the national average: Not Available

How often patients were checked for their ability to do everyday activities and had goals set to improve it

Total number of patients: 107

Number of assessed patients: 105

Rate of patients assessed for functionality: 98.1

Improvement in patients taking care of themselves

Adjusted score for patient self-care improvement: 8.9

Total number of patients: 86

Actual score for patient self-care improvement: 8.4

Improvement in patients moving around

Adjusted score for patient mobility improvement: 23.9

Total number of patients: 87

Actual score for patient mobility improvement: 24.8

Patients who can take care of themselves as expected when they leave

Total number of patients: 87

Number of patients self-caring as expected at discharge: 26

Rate of patients self-caring as expected at discharge: 29.9

Patients who can move around as expected when they leave

Total number of patients: 87

Number of patients mobile as expected at discharge: 30

Rate of patients mobile as expected at discharge: 34.5

Patients who fall and get seriously hurt during their stay

Total number of patients: 107

Number of falls with major injury: 0

Rate of falls with major injury: 0.0

Infections caused by a tough-to-treat bacteria called Clostridium difficile

Lowest estimate for how common Clostridium difficile infections are: Not Available

Highest estimate for how common Clostridium difficile infections are: 2.872

How the facility compares to others in infection control: No Different than the National Benchmark

Days patients were at risk for infection: 2,969

Expected number of Clostridium difficile infections: 1.043

Actual number of Clostridium difficile infections: 0

Infection ratio compared to the national average: 0.000

Healthcare workers who got a flu shot for the current season

Total number of healthcare workers: 153

Number of healthcare workers vaccinated against flu: 142

Rate of flu vaccination among healthcare workers: 92.8

Rate of avoidable hospital visits 30 days after leaving

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions after leaving: 2.38

Number of avoidable readmissions after leaving: 1

Risk-adjusted rate of avoidable readmissions after leaving: 8.45

Lowest estimate of the risk-adjusted rate: 6.37

Highest estimate of the risk-adjusted rate: 11.27

Total number of patients: 42

Rate of avoidable hospital visits during the stay

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions during the stay: 4.35

Number of avoidable readmissions during the stay: 2

Risk-adjusted rate of avoidable readmissions during the stay: 5.05

Lowest estimate of the risk-adjusted rate: 3.28

Highest estimate of the risk-adjusted rate: 7.26

Total number of patients: 46

Success rate of returning home or to the community from the hospital

How the facility compares to others in returning patients home or to the community: No Different than the National Rate

Number of patients who went home or to the community: 25

Rate of patients going home or to the community: 60.98

Risk-adjusted rate of patients going home or to the community: 64.24

Lowest estimate of the risk-adjusted rate: 54.90

Highest estimate of the risk-adjusted rate: 72.52

Total number of patients: 41

How much Medicare spends on a patient compared to others

Number of patient episodes evaluated: 42

Score for how much Medicare spends per patient: 1.16

Checking and following up on patients’ medications

Total number of patients: 107

Number of patients with reviewed medications: 107

Rate of medication review and follow-up care: 100.0

Patients who developed or worsened pressure ulcers/injuries

Adjusted rate of new or worsened pressure ulcers/injuries: 1.2

Total number of patients at risk: 107

Number of new or worsened pressure ulcers/injuries: 1

Rate of new or worsened pressure ulcers/injuries: 0.9


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