Encompass Health Rehab Hospital of Middletown


About the Facility

CMS Certification Number (CCN)
083026
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
250 East Hampden Road
Phone Number
(302) 464-3400

Facility Medical Condition Statistics

All other conditions
71
Brain disease or condition (non-traumatic)
31
Brain injury (traumatic)
42
Hip or femur fracture
141
Hip or knee replacement, amputation or other bone or joint condition
288
Nervous system disorder (excluding stroke)
310
Spinal cord disease or condition (non-traumatic)
36
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
195

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
390
Predicted number of infections (B)
0.551
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,062
Denominator
1,062
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.8
Denominator
990
Average observed change score
15.6
Change in patients ability to move around
Average risk-adjusted change score
33.9
Denominator
990
Average observed change score
37.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
741
Denominator
990
Facility rate
74.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
710
Denominator
990
Facility rate
71.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,062
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.583
Comparative performance category
Better than the National Benchmark
Patient days
14,280
Predicted number of infections (B)
5.141
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
266
Number of health care workers
292
Rate of flu vaccination
91.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
95
Number of eligible stays
1,334
Unadjusted potentially preventable readmission rate
7.12
Risk-standardized potentially preventable readmission rate (RSRR)
8.85
Lower limit of the 95% confidence interval on the RSRR
7.47
Upper limit of the 95% confidence interval on the RSRR
10.39
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
33
Number of eligible stays
1,406
Unadjusted potentially preventable readmission rate
2.35
Risk-standardized potentially preventable readmission rate (RSRR)
3.49
Lower limit of the 95% confidence interval on the RSRR
2.65
Upper limit of the 95% confidence interval on the RSRR
4.51
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
875
Number of eligible stays
1,176
Observed discharge to community rate
74.40
Risk-standardized discharge to community rate
71.93
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.56
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.25
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
1,421
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,062
Denominator
1,062
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
1,061
Facility observed rate
0.6
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
259
Number of health care workers
274
Rate of COVID-19 vaccination
94.5