New Hanover Regional Medical Center Rehabilitation


About the Facility

CMS Certification Number (CCN)
34T141
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
2131 South 17th Street
Phone Number
(910) 667-5619

Facility Medical Condition Statistics

All other conditions
141
Brain disease or condition (non-traumatic)
34
Brain injury (traumatic)
22
Hip or femur fracture
65
Hip or knee replacement, amputation or other bone or joint condition
83
Nervous system disorder (excluding stroke)
13
Spinal cord disease or condition (non-traumatic)
56
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
199

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.262
SIR 95% confidence interval - upper limit
5.170
Comparative performance category
No Different than the National Benchmark
Catheter days
469
Predicted number of infections (B)
1.278
Number of infections reported (A)
2
SIR (A/B)
1.565
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
606
Denominator
610
Facility rate
99.3
Change in patients ability to care for themselves
Average risk-adjusted change score
10.0
Denominator
534
Average observed change score
10.1
Change in patients ability to move around
Average risk-adjusted change score
24.4
Denominator
534
Average observed change score
25.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
228
Denominator
534
Facility rate
42.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
206
Denominator
534
Facility rate
38.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
608
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.067
SIR 95% confidence interval - upper limit
1.328
Comparative performance category
No Different than the National Benchmark
Patient days
11,050
Predicted number of infections (B)
4.977
Number of infections reported (A)
2
SIR (A/B)
0.402
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
271
Number of health care workers
277
Rate of flu vaccination
97.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
41
Number of eligible stays
637
Unadjusted potentially preventable readmission rate
6.44
Risk-standardized potentially preventable readmission rate (RSRR)
7.83
Lower limit of the 95% confidence interval on the RSRR
6.45
Upper limit of the 95% confidence interval on the RSRR
9.57
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
26
Number of eligible stays
705
Unadjusted potentially preventable readmission rate
3.69
Risk-standardized potentially preventable readmission rate (RSRR)
4.23
Lower limit of the 95% confidence interval on the RSRR
3.23
Upper limit of the 95% confidence interval on the RSRR
5.33
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)
412
Number of eligible stays
569
Observed discharge to community rate
72.41
Risk-standardized discharge to community rate
71.12
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.71
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.29
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
584
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
572
Denominator
610
Facility rate
93.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
610
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
249
Number of health care workers
255
Rate of COVID-19 vaccination
97.6