Encompass Health Braintree Hospital of Braintree


About the Facility

CMS Certification Number (CCN)
223027
Ownership Type
For Profit
CMS Region
Boston
Certification Date
Address
250 Pond Street
Phone Number
(781) 848-5353

Facility Medical Condition Statistics

All other conditions
576
Brain disease or condition (non-traumatic)
138
Brain injury (traumatic)
85
Hip or femur fracture
184
Hip or knee replacement, amputation or other bone or joint condition
467
Nervous system disorder (excluding stroke)
171
Spinal cord disease or condition (non-traumatic)
72
Spinal cord injury (traumatic)
23
Stroke
581

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.011
SIR 95% confidence interval - upper limit
1.105
Comparative performance category
No Different than the National Benchmark
Catheter days
3,568
Predicted number of infections (B)
4.462
Number of infections reported (A)
1
SIR (A/B)
0.224
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
2,246
Denominator
2,246
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
1,956
Average observed change score
14.3
Change in patients ability to move around
Average risk-adjusted change score
35.6
Denominator
1,956
Average observed change score
36.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,396
Denominator
1,956
Facility rate
71.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,413
Denominator
1,956
Facility rate
72.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
8
Denominator
2,246
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.941
SIR 95% confidence interval - upper limit
2.141
Comparative performance category
No Different than the National Benchmark
Patient days
41,109
Predicted number of infections (B)
15.863
Number of infections reported (A)
23
SIR (A/B)
1.450
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
521
Number of health care workers
620
Rate of flu vaccination
84.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
246
Number of eligible stays
2,356
Unadjusted potentially preventable readmission rate
10.44
Risk-standardized potentially preventable readmission rate (RSRR)
10.58
Lower limit of the 95% confidence interval on the RSRR
9.46
Upper limit of the 95% confidence interval on the RSRR
11.75
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
111
Number of eligible stays
2,581
Unadjusted potentially preventable readmission rate
4.30
Risk-standardized potentially preventable readmission rate (RSRR)
4.30
Lower limit of the 95% confidence interval on the RSRR
3.64
Upper limit of the 95% confidence interval on the RSRR
4.99
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)
1,418
Number of eligible stays
2,165
Observed discharge to community rate
65.50
Risk-standardized discharge to community rate
68.22
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.32
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.23
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
2,278
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
2,241
Denominator
2,246
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
37
Denominator
2,242
Facility observed rate
1.7
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
984
Number of health care workers
1,027
Rate of COVID-19 vaccination
95.8