About the Facility
- CMS Certification Number (CCN)
- 33T127
- Ownership Type
- Government
- CMS Region
- New York
- Certification Date
- Address
1400 Pelham Parkway S
- Phone Number
- (718) 918-5545
Facility Medical Condition Statistics
- All other conditions
- 28
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 98
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.656
- SIR 95% confidence interval - upper limit
- 7.020
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 520
- Predicted number of infections (B)
- 1.163
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.580
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 179
- Denominator
- 179
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.6
- Denominator
- 155
- Average observed change score
- 7.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.0
- Denominator
- 155
- Average observed change score
- 22.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 49
- Denominator
- 155
- Facility rate
- 31.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 49
- Denominator
- 155
- Facility rate
- 31.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 179
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.116
- SIR 95% confidence interval - upper limit
- 2.285
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,107
- Predicted number of infections (B)
- 2.892
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.692
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 96
- Rate of flu vaccination
- 21.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 7
- Number of eligible stays
- 96
- Unadjusted potentially preventable readmission rate
- 7.29
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.59
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- Upper limit of the 95% confidence interval on the RSRR
- 11.26
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 115
- Unadjusted potentially preventable readmission rate
- 5.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.19
- Lower limit of the 95% confidence interval on the RSRR
- 3.33
- Upper limit of the 95% confidence interval on the RSRR
- 7.84
- 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)
- 43
- Number of eligible stays
- 91
- Observed discharge to community rate
- 47.25
- Risk-standardized discharge to community rate
- 55.04
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 47.42
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.77
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.44
- Number of eligible episodes
- 60
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 176
- Denominator
- 179
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 179
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 45
- Number of health care workers
- 50
- Rate of COVID-19 vaccination
- 90.0