Spaulding Rehabilitation Hospital - Cape Cod


About the Facility

CMS Certification Number (CCN)
223032
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
311 Service Road
Phone Number
(508) 833-4262

Facility Medical Condition Statistics

All other conditions
157
Brain disease or condition (non-traumatic)
50
Brain injury (traumatic)
46
Hip or femur fracture
175
Hip or knee replacement, amputation or other bone or joint condition
157
Nervous system disorder (excluding stroke)
95
Spinal cord disease or condition (non-traumatic)
27
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
213

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
2.160
Comparative performance category
No Different than the National Benchmark
Catheter days
913
Predicted number of infections (B)
1.387
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
905
Denominator
905
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
815
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
30.0
Denominator
815
Average observed change score
33.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
479
Denominator
815
Facility rate
58.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
466
Denominator
815
Facility rate
57.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
905
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.781
Comparative performance category
Better than the National Benchmark
Patient days
15,024
Predicted number of infections (B)
3.835
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
505
Number of health care workers
510
Rate of flu vaccination
99.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
55
Number of eligible stays
1,176
Unadjusted potentially preventable readmission rate
4.68
Risk-standardized potentially preventable readmission rate (RSRR)
7.08
Lower limit of the 95% confidence interval on the RSRR
5.92
Upper limit of the 95% confidence interval on the RSRR
8.47
Comparative performance category
Better than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
46
Number of eligible stays
1,278
Unadjusted potentially preventable readmission rate
3.60
Risk-standardized potentially preventable readmission rate (RSRR)
4.51
Lower limit of the 95% confidence interval on the RSRR
3.65
Upper limit of the 95% confidence interval on the RSRR
5.60
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)
668
Number of eligible stays
1,068
Observed discharge to community rate
62.55
Risk-standardized discharge to community rate
61.03
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.25
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.44
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
1,149
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
898
Denominator
905
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
905
Facility observed rate
0.8
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
494
Number of health care workers
494
Rate of COVID-19 vaccination
100.0