Encompass Health Rehab Hospital of Western Mass


About the Facility

CMS Certification Number (CCN)
223030
Ownership Type
For Profit
CMS Region
Boston
Certification Date
Address
222 State Street
Phone Number
(413) 589-7581

Facility Medical Condition Statistics

All other conditions
403
Brain disease or condition (non-traumatic)
58
Brain injury (traumatic)
44
Hip or femur fracture
126
Hip or knee replacement, amputation or other bone or joint condition
338
Nervous system disorder (excluding stroke)
97
Spinal cord disease or condition (non-traumatic)
41
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
171

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.035
SIR 95% confidence interval - upper limit
3.434
Comparative performance category
No Different than the National Benchmark
Catheter days
1,331
Predicted number of infections (B)
1.436
Number of infections reported (A)
1
SIR (A/B)
0.696
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,235
Denominator
1,235
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.0
Denominator
1,100
Average observed change score
16.6
Change in patients ability to move around
Average risk-adjusted change score
34.0
Denominator
1,100
Average observed change score
36.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
751
Denominator
1,100
Facility rate
68.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
725
Denominator
1,100
Facility rate
65.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,235
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.006
SIR 95% confidence interval - upper limit
0.568
Comparative performance category
Better than the National Benchmark
Patient days
17,968
Predicted number of infections (B)
8.688
Number of infections reported (A)
1
SIR (A/B)
0.115
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
407
Number of health care workers
449
Rate of flu vaccination
90.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
129
Number of eligible stays
1,410
Unadjusted potentially preventable readmission rate
9.15
Risk-standardized potentially preventable readmission rate (RSRR)
8.70
Lower limit of the 95% confidence interval on the RSRR
7.62
Upper limit of the 95% confidence interval on the RSRR
10.03
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
39
Number of eligible stays
1,506
Unadjusted potentially preventable readmission rate
2.59
Risk-standardized potentially preventable readmission rate (RSRR)
3.02
Lower limit of the 95% confidence interval on the RSRR
2.27
Upper limit of the 95% confidence interval on the RSRR
3.94
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
860
Number of eligible stays
1,244
Observed discharge to community rate
69.13
Risk-standardized discharge to community rate
72.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.91
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.14
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.05
Number of eligible episodes
1,622
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,232
Denominator
1,235
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
1,226
Facility observed rate
0.7
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
273
Number of health care workers
297
Rate of COVID-19 vaccination
91.9