Geisinger Encompass Health Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
393047
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
64 Rehab Lane
Phone Number
(570) 271-6110

Facility Medical Condition Statistics

All other conditions
55
Brain disease or condition (non-traumatic)
29
Brain injury (traumatic)
42
Hip or femur fracture
79
Hip or knee replacement, amputation or other bone or joint condition
139
Nervous system disorder (excluding stroke)
86
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
141

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
392
Predicted number of infections (B)
0.721
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
587
Denominator
587
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.4
Denominator
520
Average observed change score
15.8
Change in patients ability to move around
Average risk-adjusted change score
35.6
Denominator
520
Average observed change score
37.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
399
Denominator
520
Facility rate
76.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
395
Denominator
520
Facility rate
76.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
587
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.215
SIR 95% confidence interval - upper limit
2.305
Comparative performance category
No Different than the National Benchmark
Patient days
8,923
Predicted number of infections (B)
3.543
Number of infections reported (A)
3
SIR (A/B)
0.847
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
238
Number of health care workers
251
Rate of flu vaccination
94.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
46
Number of eligible stays
544
Unadjusted potentially preventable readmission rate
8.46
Risk-standardized potentially preventable readmission rate (RSRR)
8.80
Lower limit of the 95% confidence interval on the RSRR
7.14
Upper limit of the 95% confidence interval on the RSRR
10.62
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
27
Number of eligible stays
588
Unadjusted potentially preventable readmission rate
4.59
Risk-standardized potentially preventable readmission rate (RSRR)
4.83
Lower limit of the 95% confidence interval on the RSRR
3.59
Upper limit of the 95% confidence interval on the RSRR
6.63
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)
341
Number of eligible stays
481
Observed discharge to community rate
70.89
Risk-standardized discharge to community rate
71.22
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.35
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.71
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
578
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
562
Denominator
587
Facility rate
95.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
587
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
288
Number of health care workers
318
Rate of COVID-19 vaccination
90.6