About the Facility
- CMS Certification Number (CCN)
- 07T025
- Ownership Type
- Non-profit
- CMS Region
- Boston
- Certification Date
- Address
80 Seymour Street; Conklin Cb6
- Phone Number
- -
Facility Medical Condition Statistics
- All other conditions
- 70
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 16
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 56
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- 37
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 130
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
- 2.837
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 388
- Predicted number of infections (B)
- 1.056
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 379
- Denominator
- 379
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 311
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.8
- Denominator
- 311
- Average observed change score
- 31.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 153
- Denominator
- 311
- Facility rate
- 49.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 140
- Denominator
- 311
- Facility rate
- 45.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 379
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.100
- SIR 95% confidence interval - upper limit
- 1.977
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,675
- Predicted number of infections (B)
- 3.342
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.598
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 110
- Number of health care workers
- 114
- Rate of flu vaccination
- 96.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 275
- Unadjusted potentially preventable readmission rate
- 7.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.46
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 317
- Unadjusted potentially preventable readmission rate
- 5.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.03
- Lower limit of the 95% confidence interval on the RSRR
- 3.64
- Upper limit of the 95% confidence interval on the RSRR
- 6.72
- 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)
- 161
- Number of eligible stays
- 248
- Observed discharge to community rate
- 64.92
- Risk-standardized discharge to community rate
- 66.68
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.66
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.21
- 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
- 268
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 375
- Denominator
- 379
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 15
- Denominator
- 378
- Facility observed rate
- 4.0
- Facility risk-adjusted rate
- 4.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 112
- Number of health care workers
- 114
- Rate of COVID-19 vaccination
- 98.2