Mount Sinai Rehabilitation Hospital Inc


About the Facility

CMS Certification Number (CCN)
073025
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
490 Blue Hills Avenue
Phone Number
(860) 714-3500

Facility Medical Condition Statistics

All other conditions
50
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
29
Hip or femur fracture
49
Hip or knee replacement, amputation or other bone or joint condition
51
Nervous system disorder (excluding stroke)
28
Spinal cord disease or condition (non-traumatic)
22
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
188

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
450
Predicted number of infections (B)
0.916
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
435
Denominator
435
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
371
Average observed change score
12.1
Change in patients ability to move around
Average risk-adjusted change score
31.5
Denominator
371
Average observed change score
32.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
208
Denominator
371
Facility rate
56.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
221
Denominator
371
Facility rate
59.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
435
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.011
SIR 95% confidence interval - upper limit
1.087
Comparative performance category
No Different than the National Benchmark
Patient days
10,947
Predicted number of infections (B)
4.539
Number of infections reported (A)
1
SIR (A/B)
0.220
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
191
Number of health care workers
289
Rate of flu vaccination
66.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
27
Number of eligible stays
451
Unadjusted potentially preventable readmission rate
5.99
Risk-standardized potentially preventable readmission rate (RSRR)
8.38
Lower limit of the 95% confidence interval on the RSRR
6.58
Upper limit of the 95% confidence interval on the RSRR
10.56
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
20
Number of eligible stays
496
Unadjusted potentially preventable readmission rate
4.03
Risk-standardized potentially preventable readmission rate (RSRR)
4.93
Lower limit of the 95% confidence interval on the RSRR
3.77
Upper limit of the 95% confidence interval on the RSRR
6.58
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)
279
Number of eligible stays
417
Observed discharge to community rate
66.91
Risk-standardized discharge to community rate
65.77
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.80
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.69
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
432
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
433
Denominator
435
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
435
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
303
Number of health care workers
320
Rate of COVID-19 vaccination
94.7