About the Facility
- CMS Certification Number (CCN)
- 31T019
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
224 Hamburg Tpk
- Phone Number
- (973) 754-2481
Facility Medical Condition Statistics
- All other conditions
- 72
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 36
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 89
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.043
- SIR 95% confidence interval - upper limit
- 4.230
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 614
- Predicted number of infections (B)
- 1.166
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.858
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 280
- Denominator
- 280
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.9
- Denominator
- 244
- Average observed change score
- 8.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 17.5
- Denominator
- 244
- Average observed change score
- 19.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 65
- Denominator
- 244
- Facility rate
- 26.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 27
- Denominator
- 244
- Facility rate
- 11.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 280
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.143
- SIR 95% confidence interval - upper limit
- 2.811
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,605
- Predicted number of infections (B)
- 2.351
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.851
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 9
- Number of health care workers
- 9
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 263
- Unadjusted potentially preventable readmission rate
- 6.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.28
- Lower limit of the 95% confidence interval on the RSRR
- 6.50
- Upper limit of the 95% confidence interval on the RSRR
- 10.31
- 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
- 288
- Unadjusted potentially preventable readmission rate
- 4.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.02
- Lower limit of the 95% confidence interval on the RSRR
- 3.49
- Upper limit of the 95% confidence interval on the RSRR
- 7.13
- 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)
- 177
- Number of eligible stays
- 260
- Observed discharge to community rate
- 68.08
- Risk-standardized discharge to community rate
- 66.28
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.15
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 265
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 280
- Denominator
- 280
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 280
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 33
- Number of health care workers
- 34
- Rate of COVID-19 vaccination
- 97.1