Encompass Health Rehabilitation Hospital of Concor


About the Facility

CMS Certification Number (CCN)
303027
Ownership Type
For Profit
CMS Region
Boston
Certification Date
Address
254 Pleasant Street
Phone Number
(603) 226-9800

Facility Medical Condition Statistics

All other conditions
202
Brain disease or condition (non-traumatic)
65
Brain injury (traumatic)
37
Hip or femur fracture
117
Hip or knee replacement, amputation or other bone or joint condition
221
Nervous system disorder (excluding stroke)
85
Spinal cord disease or condition (non-traumatic)
24
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
210

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.197
SIR 95% confidence interval - upper limit
3.889
Comparative performance category
No Different than the National Benchmark
Catheter days
1,573
Predicted number of infections (B)
1.699
Number of infections reported (A)
2
SIR (A/B)
1.177
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
923
Denominator
923
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.9
Denominator
821
Average observed change score
17.0
Change in patients ability to move around
Average risk-adjusted change score
33.7
Denominator
821
Average observed change score
35.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
655
Denominator
821
Facility rate
79.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
559
Denominator
821
Facility rate
68.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
923
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.051
SIR 95% confidence interval - upper limit
1.014
Comparative performance category
No Different than the National Benchmark
Patient days
15,245
Predicted number of infections (B)
6.518
Number of infections reported (A)
2
SIR (A/B)
0.307
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
174
Number of health care workers
219
Rate of flu vaccination
79.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
90
Number of eligible stays
1,037
Unadjusted potentially preventable readmission rate
8.68
Risk-standardized potentially preventable readmission rate (RSRR)
9.17
Lower limit of the 95% confidence interval on the RSRR
7.87
Upper limit of the 95% confidence interval on the RSRR
10.78
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
77
Number of eligible stays
1,152
Unadjusted potentially preventable readmission rate
6.68
Risk-standardized potentially preventable readmission rate (RSRR)
6.50
Lower limit of the 95% confidence interval on the RSRR
5.28
Upper limit of the 95% confidence interval on the RSRR
7.95
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
614
Number of eligible stays
928
Observed discharge to community rate
66.16
Risk-standardized discharge to community rate
67.48
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.49
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.21
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
1,092
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
913
Denominator
923
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
923
Facility observed rate
1.0
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
201
Number of health care workers
223
Rate of COVID-19 vaccination
90.1