About the Facility
- CMS Certification Number (CCN)
- 31T108
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
65 James Street
- Phone Number
- (732) 321-7000
Facility Medical Condition Statistics
- All other conditions
- 212
- Brain disease or condition (non-traumatic)
- 79
- Brain injury (traumatic)
- 111
- Hip or femur fracture
- 86
- Hip or knee replacement, amputation or other bone or joint condition
- 65
- Nervous system disorder (excluding stroke)
- 52
- Spinal cord disease or condition (non-traumatic)
- 61
- Spinal cord injury (traumatic)
- 19
- Stroke
- 440
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.564
- SIR 95% confidence interval - upper limit
- 6.035
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 496
- Predicted number of infections (B)
- 1.353
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.217
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,124
- Denominator
- 1,124
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.2
- Denominator
- 955
- Average observed change score
- 11.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 955
- Average observed change score
- 29.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 374
- Denominator
- 955
- Facility rate
- 39.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 461
- Denominator
- 955
- Facility rate
- 48.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,124
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.176
- SIR 95% confidence interval - upper limit
- 1.064
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 26,729
- Predicted number of infections (B)
- 10.418
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.480
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,260
- Number of health care workers
- 1,449
- Rate of flu vaccination
- 87.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 79
- Number of eligible stays
- 1,135
- Unadjusted potentially preventable readmission rate
- 6.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.54
- Lower limit of the 95% confidence interval on the RSRR
- 6.36
- Upper limit of the 95% confidence interval on the RSRR
- 8.96
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 81
- Number of eligible stays
- 1,254
- Unadjusted potentially preventable readmission rate
- 6.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.57
- Lower limit of the 95% confidence interval on the RSRR
- 4.63
- Upper limit of the 95% confidence interval on the RSRR
- 7.20
- 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)
- 603
- Number of eligible stays
- 1,050
- Observed discharge to community rate
- 57.43
- Risk-standardized discharge to community rate
- 62.15
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.92
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 1,075
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,115
- Denominator
- 1,124
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 1,121
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 511
- Number of health care workers
- 566
- Rate of COVID-19 vaccination
- 90.3