About the Facility
- CMS Certification Number (CCN)
- 33T234
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
Grasslands Road
- Phone Number
- (914) 493-5495
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 28
- Hip or knee replacement, amputation or other bone or joint condition
- 49
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 111
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 374
- Predicted number of infections (B)
- 0.947
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 329
- Denominator
- 331
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.6
- Denominator
- 271
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.7
- Denominator
- 271
- Average observed change score
- 26.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 120
- Denominator
- 271
- Facility rate
- 44.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 106
- Denominator
- 271
- Facility rate
- 39.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 331
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.012
- SIR 95% confidence interval - upper limit
- 1.144
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,218
- Predicted number of infections (B)
- 4.312
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.232
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 77
- Number of health care workers
- 108
- Rate of flu vaccination
- 71.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 316
- Unadjusted potentially preventable readmission rate
- 6.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.26
- Lower limit of the 95% confidence interval on the RSRR
- 6.49
- Upper limit of the 95% confidence interval on the RSRR
- 10.40
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 32
- Number of eligible stays
- 384
- Unadjusted potentially preventable readmission rate
- 8.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.38
- Lower limit of the 95% confidence interval on the RSRR
- 5.63
- Upper limit of the 95% confidence interval on the RSRR
- 9.86
- 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)
- 197
- Number of eligible stays
- 314
- Observed discharge to community rate
- 62.74
- Risk-standardized discharge to community rate
- 63.39
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.71
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 265
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 330
- Denominator
- 331
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 331
- Facility observed rate
- 3.3
- Facility risk-adjusted rate
- 3.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 48
- Number of health care workers
- 48
- Rate of COVID-19 vaccination
- 100.0