Good Shepherd Rehabilitation Hospital, The


About the Facility

CMS Certification Number (CCN)
393035
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
850 South Fifth Street
Phone Number
(610) 776-3100

Facility Medical Condition Statistics

All other conditions
260
Brain disease or condition (non-traumatic)
58
Brain injury (traumatic)
41
Hip or femur fracture
72
Hip or knee replacement, amputation or other bone or joint condition
148
Nervous system disorder (excluding stroke)
49
Spinal cord disease or condition (non-traumatic)
32
Spinal cord injury (traumatic)
29
Stroke
145

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.497
SIR 95% confidence interval - upper limit
5.316
Comparative performance category
No Different than the National Benchmark
Catheter days
992
Predicted number of infections (B)
1.536
Number of infections reported (A)
3
SIR (A/B)
1.953
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
818
Denominator
818
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.6
Denominator
690
Average observed change score
11.2
Change in patients ability to move around
Average risk-adjusted change score
26.4
Denominator
690
Average observed change score
26.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
307
Denominator
690
Facility rate
44.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
288
Denominator
690
Facility rate
41.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
818
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.136
SIR 95% confidence interval - upper limit
1.031
Comparative performance category
No Different than the National Benchmark
Patient days
19,885
Predicted number of infections (B)
9.358
Number of infections reported (A)
4
SIR (A/B)
0.427
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
428
Number of health care workers
445
Rate of flu vaccination
96.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
71
Number of eligible stays
893
Unadjusted potentially preventable readmission rate
7.95
Risk-standardized potentially preventable readmission rate (RSRR)
7.97
Lower limit of the 95% confidence interval on the RSRR
6.74
Upper limit of the 95% confidence interval on the RSRR
9.34
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
56
Number of eligible stays
1,009
Unadjusted potentially preventable readmission rate
5.55
Risk-standardized potentially preventable readmission rate (RSRR)
5.28
Lower limit of the 95% confidence interval on the RSRR
4.08
Upper limit of the 95% confidence interval on the RSRR
6.51
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)
498
Number of eligible stays
795
Observed discharge to community rate
62.64
Risk-standardized discharge to community rate
64.71
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.69
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.65
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
845
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
804
Denominator
818
Facility rate
98.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
19
Denominator
818
Facility observed rate
2.3
Facility risk-adjusted rate
2.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
471
Number of health care workers
471
Rate of COVID-19 vaccination
100.0