About the Facility
- CMS Certification Number (CCN)
- 33T285
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
601 Elmwood Ave
Box 664
- Phone Number
- (585) 276-3015
Facility Medical Condition Statistics
- All other conditions
- 35
- Brain disease or condition (non-traumatic)
- 19
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- -
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 62
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
- 309
- Predicted number of infections (B)
- 0.844
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 154
- Denominator
- 154
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.4
- Denominator
- 134
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.6
- Denominator
- 134
- Average observed change score
- 30.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 49
- Denominator
- 134
- Facility rate
- 36.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 64
- Denominator
- 134
- Facility rate
- 47.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 154
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.020
- SIR 95% confidence interval - upper limit
- 1.951
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,562
- Predicted number of infections (B)
- 2.528
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.396
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 179
- Number of health care workers
- 211
- Rate of flu vaccination
- 84.8
- 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
- 89
- Unadjusted potentially preventable readmission rate
- 7.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.40
- Lower limit of the 95% confidence interval on the RSRR
- 6.58
- Upper limit of the 95% confidence interval on the RSRR
- 10.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 99
- Unadjusted potentially preventable readmission rate
- 3.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.19
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 5.89
- 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)
- 55
- Number of eligible stays
- 74
- Observed discharge to community rate
- 74.32
- Risk-standardized discharge to community rate
- 76.52
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.42
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 84.53
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 84
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 153
- Denominator
- 154
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 154
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 209
- Number of health care workers
- 209
- Rate of COVID-19 vaccination
- 100.0