About the Facility
- CMS Certification Number (CCN)
- 07T033
- Ownership Type
- Non-profit
- CMS Region
- Boston
- Certification Date
- Address
24 Hospital Avenue
- Phone Number
- (203) 739-6993
Facility Medical Condition Statistics
- All other conditions
- 36
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 15
- Hip or knee replacement, amputation or other bone or joint condition
- 21
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 81
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.679
- SIR 95% confidence interval - upper limit
- 7.264
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 412
- Predicted number of infections (B)
- 1.124
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.669
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 199
- Denominator
- 199
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.9
- Denominator
- 177
- Average observed change score
- 9.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.8
- Denominator
- 177
- Average observed change score
- 25.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 58
- Denominator
- 177
- Facility rate
- 32.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 62
- Denominator
- 177
- Facility rate
- 35.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 199
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.212
- SIR 95% confidence interval - upper limit
- 4.181
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,102
- Predicted number of infections (B)
- 1.580
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.265
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 46
- Number of health care workers
- 69
- Rate of flu vaccination
- 66.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 14
- Number of eligible stays
- 220
- Unadjusted potentially preventable readmission rate
- 6.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.43
- Lower limit of the 95% confidence interval on the RSRR
- 6.50
- Upper limit of the 95% confidence interval on the RSRR
- 10.45
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 241
- Unadjusted potentially preventable readmission rate
- 4.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.22
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 7.18
- 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)
- 121
- Number of eligible stays
- 196
- Observed discharge to community rate
- 61.73
- Risk-standardized discharge to community rate
- 61.51
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.24
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 210
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 199
- Denominator
- 199
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 198
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 69
- Number of health care workers
- 69
- Rate of COVID-19 vaccination
- 100.0