About the Facility
- CMS Certification Number (CCN)
- 333030
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
785 Mamaroneck Avenue
- Phone Number
- (914) 597-2232
Facility Medical Condition Statistics
- All other conditions
- 518
- Brain disease or condition (non-traumatic)
- 86
- Brain injury (traumatic)
- 71
- Hip or femur fracture
- 218
- Hip or knee replacement, amputation or other bone or joint condition
- 419
- Nervous system disorder (excluding stroke)
- 105
- Spinal cord disease or condition (non-traumatic)
- 95
- Spinal cord injury (traumatic)
- 27
- Stroke
- 547
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.221
- SIR 95% confidence interval - upper limit
- 2.360
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,697
- Predicted number of infections (B)
- 3.460
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.867
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 2,038
- Denominator
- 2,038
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 1,745
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.4
- Denominator
- 1,745
- Average observed change score
- 31.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 958
- Denominator
- 1,745
- Facility rate
- 54.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 878
- Denominator
- 1,745
- Facility rate
- 50.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 2,038
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.257
- SIR 95% confidence interval - upper limit
- 0.967
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 44,743
- Predicted number of infections (B)
- 17.083
- Number of infections reported (A)
- 9
- SIR (A/B)
- 0.527
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,186
- Number of health care workers
- 1,205
- Rate of flu vaccination
- 98.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 99
- Number of eligible stays
- 2,269
- Unadjusted potentially preventable readmission rate
- 4.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.16
- Lower limit of the 95% confidence interval on the RSRR
- 5.28
- Upper limit of the 95% confidence interval on the RSRR
- 7.09
- Comparative performance category
- Better than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 182
- Number of eligible stays
- 2,596
- Unadjusted potentially preventable readmission rate
- 7.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.54
- Lower limit of the 95% confidence interval on the RSRR
- 6.53
- Upper limit of the 95% confidence interval on the RSRR
- 8.51
- 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)
- 1,321
- Number of eligible stays
- 2,142
- Observed discharge to community rate
- 61.67
- Risk-standardized discharge to community rate
- 61.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.86
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 2,189
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 2,032
- Denominator
- 2,038
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 2,038
- 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
- 1,130
- Number of health care workers
- 1,130
- Rate of COVID-19 vaccination
- 100.0