St Joseph Mercy Hospital-SMHC

CCN

23T029The number CMS certifies the facility under, not a provider identifier

Status

Not statedCertified as part of the facility above; the Provider of Services file does not list this unit separately

Part of

Trinity Health Oakland HospitalA certified unit of this hospital, CCN 230029

Ownership

Non-profit

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • Rehabilitation Hospital Unit
  • Pontiac, MI
  • NPI 1467481713
  Medicare enrollment

• Catheter-associated urinary tract infections (CAUTI) 0
  • State average 1.35 (computed here)
  • National average 1.01
  • Period from 07/01/2024
• Clostridium difficile infection (CDI) 0
  • State average 0.26 (computed here)
  • National average 0.33
  • Period from 07/01/2024
• Health care personnel who got a flu shot for the current season (observed) 56.92
  • State average 74 (computed here)
  • National average 77.1
  • Period from 10/01/2024
• Medicare spending per beneficiary 0.99
  • State average 0.97 (computed here)
  • National average 1
  • Period from 10/01/2022
• Patients at or above an expected ability to care for themselves and move around at discharge (observed) 24.94
  • State average 48.08 (computed here)
  • National average 66.02
  • Period from 10/01/2024
• Patients at or above an expected ability to care for themselves at discharge (observed) 18.7
  • State average 47.01 (computed here)
  • National average 64.84
  • Period from 10/01/2024
• Patients at or above an expected ability to move around at discharge (observed) 14.21
  • State average 41.15 (computed here)
  • National average 62.03
  • Period from 10/01/2024
• Patients given a current medication list at final discharge (observed) 100
  • State average 98.95 (computed here)
  • National average 98.57
  • Period from 10/01/2024
• Patients who experience one or more falls with major injury during their stay (observed) 0.22
  • State average 0.11 (computed here)
  • National average 0.14
  • Period from 10/01/2024
• Patients whose current medication list was passed to the next health care setting (observed) 100
  • State average 96.14 (computed here)
  • National average 97.33
  • Period from 10/01/2024
• Patients whose medications were reviewed, with follow-up when issues were identified (observed) 9.25
  • State average 94.48 (computed here)
  • National average 98.37
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (adjusted) 1.29
  • State average 1 (computed here)
  • National average 0.91 (computed here)
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (observed) 1.3
  • State average 1.03 (computed here)
  • National average 0.87
  • Period from 10/01/2024
• Potentially preventable hospital readmissions 30 days after discharge (observed) 13.59
  • State average 9.71 (computed here)
  • National average 9.21
  • Period from 10/01/2022
• Potentially preventable hospital readmissions 30 days after discharge (risk-standardized) 10.63
  • State average 9.3 (computed here)
  • National average 9.26 (computed here)
  • Period from 10/01/2022
• Potentially preventable hospital readmissions during the stay (observed) 5.1
  • State average 4.74 (computed here)
  • National average 4.74
  • Period from 10/01/2022
• Potentially preventable hospital readmissions during the stay (risk-standardized) 4.83
  • State average 4.8 (computed here)
  • National average 4.83 (computed here)
  • Period from 10/01/2022
• Successful return to home or community (observed) 61.12
  • State average 66.31 (computed here)
  • National average 67.39
  • Period from 10/01/2022
• Successful return to home or community (risk-standardized) 63.34
  • State average 67.13 (computed here)
  • National average 67.21 (computed here)
  • Period from 10/01/2022

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

• Malaz Almsaddi, M.D.

  • Neurology Physician
  • Bloomfield Hills, MI
  • NPI 1003897562
• Ahmad Talal Elhaouli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bloomfield Hills, MI
  • NPI 1598149379
• Saad Naaman, MD

  • Physical Medicine & Rehabilitation Physician
  • Troy, MI
  • NPI 1225137334
• Timothy P Sesi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pontiac, MI
  • NPI 1528008810

• Provider of Services: the certification, provider type, beds and status.
• Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
• NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.