Spaulding Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
223034
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
300 First Avenue
Phone Number
(617) 720-6400

Facility Medical Condition Statistics

All other conditions
167
Brain disease or condition (non-traumatic)
102
Brain injury (traumatic)
92
Hip or femur fracture
41
Hip or knee replacement, amputation or other bone or joint condition
260
Nervous system disorder (excluding stroke)
101
Spinal cord disease or condition (non-traumatic)
117
Spinal cord injury (traumatic)
44
Stroke
440

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.410
SIR 95% confidence interval - upper limit
1.677
Comparative performance category
No Different than the National Benchmark
Catheter days
3,755
Predicted number of infections (B)
9.057
Number of infections reported (A)
8
SIR (A/B)
0.883
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,309
Denominator
1,310
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
10.7
Denominator
1,099
Average observed change score
11.4
Change in patients ability to move around
Average risk-adjusted change score
29.0
Denominator
1,099
Average observed change score
30.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
487
Denominator
1,099
Facility rate
44.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
543
Denominator
1,099
Facility rate
49.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
4
Denominator
1,310
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.101
SIR 95% confidence interval - upper limit
0.611
Comparative performance category
Better than the National Benchmark
Patient days
43,838
Predicted number of infections (B)
18.151
Number of infections reported (A)
5
SIR (A/B)
0.275
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,706
Number of health care workers
1,710
Rate of flu vaccination
99.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
63
Number of eligible stays
1,209
Unadjusted potentially preventable readmission rate
5.21
Risk-standardized potentially preventable readmission rate (RSRR)
7.26
Lower limit of the 95% confidence interval on the RSRR
6.02
Upper limit of the 95% confidence interval on the RSRR
8.71
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
76
Number of eligible stays
1,380
Unadjusted potentially preventable readmission rate
5.51
Risk-standardized potentially preventable readmission rate (RSRR)
5.68
Lower limit of the 95% confidence interval on the RSRR
4.72
Upper limit of the 95% confidence interval on the RSRR
7.10
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)
659
Number of eligible stays
1,126
Observed discharge to community rate
58.53
Risk-standardized discharge to community rate
60.54
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.67
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.28
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.09
Number of eligible episodes
1,178
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,309
Denominator
1,310
Facility rate
99.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
20
Denominator
1,308
Facility observed rate
1.5
Facility risk-adjusted rate
1.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
1,598
Number of health care workers
1,599
Rate of COVID-19 vaccination
99.9