Lourdes Regional Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
31T029
Ownership Type
Government
CMS Region
New York
Certification Date
Address
1600 Haddon Avenue
Phone Number
(856) 757-3871

Facility Medical Condition Statistics

All other conditions
89
Brain disease or condition (non-traumatic)
20
Brain injury (traumatic)
35
Hip or femur fracture
13
Hip or knee replacement, amputation or other bone or joint condition
18
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
23
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
209

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.048
SIR 95% confidence interval - upper limit
4.738
Comparative performance category
No Different than the National Benchmark
Catheter days
466
Predicted number of infections (B)
1.041
Number of infections reported (A)
1
SIR (A/B)
0.961
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
412
Denominator
412
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.7
Denominator
352
Average observed change score
10.0
Change in patients ability to move around
Average risk-adjusted change score
23.9
Denominator
352
Average observed change score
24.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
161
Denominator
352
Facility rate
45.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
128
Denominator
352
Facility rate
36.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
412
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.018
SIR 95% confidence interval - upper limit
1.754
Comparative performance category
No Different than the National Benchmark
Patient days
5,931
Predicted number of infections (B)
2.812
Number of infections reported (A)
1
SIR (A/B)
0.356
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
42
Number of health care workers
46
Rate of flu vaccination
91.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
29
Number of eligible stays
318
Unadjusted potentially preventable readmission rate
9.12
Risk-standardized potentially preventable readmission rate (RSRR)
9.54
Lower limit of the 95% confidence interval on the RSRR
7.61
Upper limit of the 95% confidence interval on the RSRR
11.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
361
Unadjusted potentially preventable readmission rate
2.77
Risk-standardized potentially preventable readmission rate (RSRR)
4.28
Lower limit of the 95% confidence interval on the RSRR
3.15
Upper limit of the 95% confidence interval on the RSRR
6.19
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)
185
Number of eligible stays
297
Observed discharge to community rate
62.29
Risk-standardized discharge to community rate
60.74
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.21
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.13
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.87
Number of eligible episodes
295
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
410
Denominator
412
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
412
Facility observed rate
0.5
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
43
Number of health care workers
46
Rate of COVID-19 vaccination
93.5