Pam Rehabilitation Hospital of Dover


About the Facility

CMS Certification Number (CCN)
083027
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
1240 Mckee Road
Phone Number
(302) 672-5800

Facility Medical Condition Statistics

All other conditions
297
Brain disease or condition (non-traumatic)
116
Brain injury (traumatic)
35
Hip or femur fracture
78
Hip or knee replacement, amputation or other bone or joint condition
206
Nervous system disorder (excluding stroke)
178
Spinal cord disease or condition (non-traumatic)
24
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
144

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
821
Predicted number of infections (B)
0.886
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,026
Denominator
1,027
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
11.0
Denominator
961
Average observed change score
11.9
Change in patients ability to move around
Average risk-adjusted change score
24.3
Denominator
963
Average observed change score
26.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
531
Denominator
963
Facility rate
55.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
362
Denominator
963
Facility rate
37.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,027
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.073
SIR 95% confidence interval - upper limit
1.446
Comparative performance category
No Different than the National Benchmark
Patient days
12,052
Predicted number of infections (B)
4.568
Number of infections reported (A)
2
SIR (A/B)
0.438
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
117
Number of health care workers
239
Rate of flu vaccination
49.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
127
Number of eligible stays
1,201
Unadjusted potentially preventable readmission rate
10.57
Risk-standardized potentially preventable readmission rate (RSRR)
10.49
Lower limit of the 95% confidence interval on the RSRR
9.13
Upper limit of the 95% confidence interval on the RSRR
12.12
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
50
Number of eligible stays
1,288
Unadjusted potentially preventable readmission rate
3.88
Risk-standardized potentially preventable readmission rate (RSRR)
4.65
Lower limit of the 95% confidence interval on the RSRR
3.63
Upper limit of the 95% confidence interval on the RSRR
6.14
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)
757
Number of eligible stays
1,019
Observed discharge to community rate
74.29
Risk-standardized discharge to community rate
71.59
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.03
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.94
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
1,638
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,022
Denominator
1,027
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
1,024
Facility observed rate
0.7
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
195
Number of health care workers
245
Rate of COVID-19 vaccination
79.6