About the Facility
- CMS Certification Number (CCN)
- 22T074
- Ownership Type
- Non-profit
- CMS Region
- Boston
- Certification Date
- Address
Charlton Memorial Hospital
363 Highland Avenue
- Phone Number
- (508) 973-7554
Facility Medical Condition Statistics
- All other conditions
- 157
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 47
- Hip or knee replacement, amputation or other bone or joint condition
- 55
- Nervous system disorder (excluding stroke)
- 23
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 119
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 336
- Predicted number of infections (B)
- 0.915
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 451
- Denominator
- 451
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.7
- Denominator
- 382
- Average observed change score
- 7.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.5
- Denominator
- 384
- Average observed change score
- 25.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 125
- Denominator
- 384
- Facility rate
- 32.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 141
- Denominator
- 384
- Facility rate
- 36.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 451
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.187
- SIR 95% confidence interval - upper limit
- 1.998
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,920
- Predicted number of infections (B)
- 4.087
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.734
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 49
- Number of health care workers
- 51
- Rate of flu vaccination
- 96.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 440
- Unadjusted potentially preventable readmission rate
- 6.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.99
- Lower limit of the 95% confidence interval on the RSRR
- 6.37
- Upper limit of the 95% confidence interval on the RSRR
- 9.94
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 489
- Unadjusted potentially preventable readmission rate
- 3.68
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.73
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 6.52
- 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)
- 232
- Number of eligible stays
- 392
- Observed discharge to community rate
- 59.18
- Risk-standardized discharge to community rate
- 57.39
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.50
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 413
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 252
- Denominator
- 451
- Facility rate
- 55.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 448
- Facility observed rate
- 2.5
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 29
- Number of health care workers
- 29
- Rate of COVID-19 vaccination
- 100.0