Adventist Healthcare Rehabilitation at Rockville


About the Facility

CMS Certification Number (CCN)
213029
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
9909 Medical Center Drive
Phone Number
(240) 864-6005

Facility Medical Condition Statistics

All other conditions
398
Brain disease or condition (non-traumatic)
68
Brain injury (traumatic)
99
Hip or femur fracture
129
Hip or knee replacement, amputation or other bone or joint condition
232
Nervous system disorder (excluding stroke)
102
Spinal cord disease or condition (non-traumatic)
134
Spinal cord injury (traumatic)
37
Stroke
386

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
2.589
Comparative performance category
No Different than the National Benchmark
Catheter days
567
Predicted number of infections (B)
1.157
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
1,540
Denominator
1,540
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
1,337
Average observed change score
14.3
Change in patients ability to move around
Average risk-adjusted change score
29.5
Denominator
1,337
Average observed change score
31.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
713
Denominator
1,337
Facility rate
53.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
686
Denominator
1,337
Facility rate
51.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,540
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.199
SIR 95% confidence interval - upper limit
1.022
Comparative performance category
No Different than the National Benchmark
Patient days
30,946
Predicted number of infections (B)
12.210
Number of infections reported (A)
6
SIR (A/B)
0.491
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
622
Number of health care workers
627
Rate of flu vaccination
99.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
121
Number of eligible stays
1,857
Unadjusted potentially preventable readmission rate
6.52
Risk-standardized potentially preventable readmission rate (RSRR)
8.20
Lower limit of the 95% confidence interval on the RSRR
7.15
Upper limit of the 95% confidence interval on the RSRR
9.55
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
114
Number of eligible stays
2,070
Unadjusted potentially preventable readmission rate
5.51
Risk-standardized potentially preventable readmission rate (RSRR)
5.96
Lower limit of the 95% confidence interval on the RSRR
4.98
Upper limit of the 95% confidence interval on the RSRR
6.94
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
1,101
Number of eligible stays
1,752
Observed discharge to community rate
62.84
Risk-standardized discharge to community rate
63.59
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.40
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.64
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
1,840
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,529
Denominator
1,540
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
1,539
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
788
Number of health care workers
789
Rate of COVID-19 vaccination
99.9