Encompass Health Rehab Hospital of Salisbury


About the Facility

CMS Certification Number (CCN)
213028
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
220 Tilghman Road
Phone Number
(410) 546-4600

Facility Medical Condition Statistics

All other conditions
482
Brain disease or condition (non-traumatic)
231
Brain injury (traumatic)
44
Hip or femur fracture
209
Hip or knee replacement, amputation or other bone or joint condition
278
Nervous system disorder (excluding stroke)
187
Spinal cord disease or condition (non-traumatic)
46
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
323

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.269
SIR 95% confidence interval - upper limit
5.741
Comparative performance category
Worse than the National Benchmark
Catheter days
2,232
Predicted number of infections (B)
2.412
Number of infections reported (A)
7
SIR (A/B)
2.902
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,766
Denominator
1,766
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.0
Denominator
1,563
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
35.0
Denominator
1,565
Average observed change score
36.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,082
Denominator
1,565
Facility rate
69.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,124
Denominator
1,565
Facility rate
71.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,766
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.044
SIR 95% confidence interval - upper limit
0.874
Comparative performance category
Better than the National Benchmark
Patient days
23,680
Predicted number of infections (B)
7.560
Number of infections reported (A)
2
SIR (A/B)
0.265
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
290
Number of health care workers
337
Rate of flu vaccination
86.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
134
Number of eligible stays
1,784
Unadjusted potentially preventable readmission rate
7.51
Risk-standardized potentially preventable readmission rate (RSRR)
7.90
Lower limit of the 95% confidence interval on the RSRR
6.83
Upper limit of the 95% confidence interval on the RSRR
9.04
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
90
Number of eligible stays
1,983
Unadjusted potentially preventable readmission rate
4.54
Risk-standardized potentially preventable readmission rate (RSRR)
5.22
Lower limit of the 95% confidence interval on the RSRR
4.29
Upper limit of the 95% confidence interval on the RSRR
6.30
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)
1,179
Number of eligible stays
1,672
Observed discharge to community rate
70.51
Risk-standardized discharge to community rate
69.15
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.04
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.06
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
2,005
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,735
Denominator
1,766
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
1,762
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
211
Number of health care workers
282
Rate of COVID-19 vaccination
74.8