About the Facility
- CMS Certification Number (CCN)
- 313025
- Ownership Type
- For Profit
- CMS Region
- New York
- Certification Date
- Address
1199 Pleasant Valley Way
- Phone Number
- (973) 243-6830
Facility Medical Condition Statistics
- All other conditions
- 1,143
- Brain disease or condition (non-traumatic)
- 301
- Brain injury (traumatic)
- 238
- Hip or femur fracture
- 350
- Hip or knee replacement, amputation or other bone or joint condition
- 741
- Nervous system disorder (excluding stroke)
- 270
- Spinal cord disease or condition (non-traumatic)
- 164
- Spinal cord injury (traumatic)
- 67
- Stroke
- 1,207
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.624
- SIR 95% confidence interval - upper limit
- 1.674
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 8,177
- Predicted number of infections (B)
- 15.186
- Number of infections reported (A)
- 16
- SIR (A/B)
- 1.054
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 4,390
- Denominator
- 4,390
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 3,743
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.2
- Denominator
- 3,744
- Average observed change score
- 28.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,795
- Denominator
- 3,744
- Facility rate
- 47.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,683
- Denominator
- 3,744
- Facility rate
- 45.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 4,390
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.558
- SIR 95% confidence interval - upper limit
- 1.085
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 97,592
- Predicted number of infections (B)
- 44.378
- Number of infections reported (A)
- 35
- SIR (A/B)
- 0.789
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 2,027
- Number of health care workers
- 2,143
- Rate of flu vaccination
- 94.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 340
- Number of eligible stays
- 4,567
- Unadjusted potentially preventable readmission rate
- 7.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.23
- Lower limit of the 95% confidence interval on the RSRR
- 7.49
- Upper limit of the 95% confidence interval on the RSRR
- 9.05
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 305
- Number of eligible stays
- 5,121
- Unadjusted potentially preventable readmission rate
- 5.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.83
- Lower limit of the 95% confidence interval on the RSRR
- 5.19
- Upper limit of the 95% confidence interval on the RSRR
- 6.45
- 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)
- 2,721
- Number of eligible stays
- 4,256
- Observed discharge to community rate
- 63.93
- Risk-standardized discharge to community rate
- 66.08
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.47
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 4,597
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 4,377
- Denominator
- 4,390
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 4,384
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,587
- Number of health care workers
- 1,775
- Rate of COVID-19 vaccination
- 89.4