Fairlawn Rehab Hosp, an Affiliate of Encompass Hlt


About the Facility

CMS Certification Number (CCN)
223029
Ownership Type
For Profit
CMS Region
Boston
Certification Date
Address
189 May Street
Phone Number
(508) 791-6351

Facility Medical Condition Statistics

All other conditions
341
Brain disease or condition (non-traumatic)
85
Brain injury (traumatic)
78
Hip or femur fracture
91
Hip or knee replacement, amputation or other bone or joint condition
305
Nervous system disorder (excluding stroke)
313
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
268

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.155
SIR 95% confidence interval - upper limit
3.055
Comparative performance category
No Different than the National Benchmark
Catheter days
2,002
Predicted number of infections (B)
2.163
Number of infections reported (A)
2
SIR (A/B)
0.925
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,454
Denominator
1,456
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
12.8
Denominator
1,284
Average observed change score
13.4
Change in patients ability to move around
Average risk-adjusted change score
35.8
Denominator
1,284
Average observed change score
36.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
855
Denominator
1,284
Facility rate
66.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
975
Denominator
1,284
Facility rate
75.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,455
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.283
SIR 95% confidence interval - upper limit
1.451
Comparative performance category
No Different than the National Benchmark
Patient days
23,927
Predicted number of infections (B)
8.599
Number of infections reported (A)
6
SIR (A/B)
0.698
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
454
Number of health care workers
528
Rate of flu vaccination
86.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
132
Number of eligible stays
1,430
Unadjusted potentially preventable readmission rate
9.23
Risk-standardized potentially preventable readmission rate (RSRR)
8.15
Lower limit of the 95% confidence interval on the RSRR
7.14
Upper limit of the 95% confidence interval on the RSRR
9.24
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
88
Number of eligible stays
1,591
Unadjusted potentially preventable readmission rate
5.53
Risk-standardized potentially preventable readmission rate (RSRR)
5.12
Lower limit of the 95% confidence interval on the RSRR
4.23
Upper limit of the 95% confidence interval on the RSRR
6.21
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)
804
Number of eligible stays
1,284
Observed discharge to community rate
62.62
Risk-standardized discharge to community rate
65.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.50
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.64
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
1,525
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,455
Denominator
1,456
Facility rate
99.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
1,452
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
371
Number of health care workers
390
Rate of COVID-19 vaccination
95.1