About the Facility
- CMS Certification Number (CCN)
- 30T011
- Ownership Type
- Non-profit
- CMS Region
- Boston
- Certification Date
- Address
172 Kinsley St
- Phone Number
- (603) 882-3000
Facility Medical Condition Statistics
- All other conditions
- 130
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 48
- Hip or knee replacement, amputation or other bone or joint condition
- 37
- Nervous system disorder (excluding stroke)
- 23
- Spinal cord disease or condition (non-traumatic)
- -
- Spinal cord injury (traumatic)
- -
- Stroke
- 69
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
- 307
- Predicted number of infections (B)
- 0.443
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 334
- Denominator
- 335
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.6
- Denominator
- 301
- Average observed change score
- 10.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.3
- Denominator
- 301
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 157
- Denominator
- 301
- Facility rate
- 52.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 105
- Denominator
- 301
- Facility rate
- 34.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 335
- 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
- 1.715
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,969
- Predicted number of infections (B)
- 1.747
- 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
- 101
- Number of health care workers
- 106
- Rate of flu vaccination
- 95.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 464
- Unadjusted potentially preventable readmission rate
- 9.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.45
- Lower limit of the 95% confidence interval on the RSRR
- 7.66
- Upper limit of the 95% confidence interval on the RSRR
- 11.39
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 491
- Unadjusted potentially preventable readmission rate
- 2.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.08
- Lower limit of the 95% confidence interval on the RSRR
- 2.85
- Upper limit of the 95% confidence interval on the RSRR
- 5.61
- 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)
- 245
- Number of eligible stays
- 397
- Observed discharge to community rate
- 61.71
- Risk-standardized discharge to community rate
- 60.50
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.63
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.52
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 454
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 267
- Denominator
- 335
- Facility rate
- 79.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 333
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 88
- Number of health care workers
- 90
- Rate of COVID-19 vaccination
- 97.8