Lancaster Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
393054
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
675 Good Drive
Phone Number
(717) 544-4819

Facility Medical Condition Statistics

All other conditions
245
Brain disease or condition (non-traumatic)
93
Brain injury (traumatic)
54
Hip or femur fracture
105
Hip or knee replacement, amputation or other bone or joint condition
247
Nervous system disorder (excluding stroke)
103
Spinal cord disease or condition (non-traumatic)
35
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
259

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.037
SIR 95% confidence interval - upper limit
3.694
Comparative performance category
No Different than the National Benchmark
Catheter days
955
Predicted number of infections (B)
1.335
Number of infections reported (A)
1
SIR (A/B)
0.749
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,061
Denominator
1,061
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
952
Average observed change score
15.3
Change in patients ability to move around
Average risk-adjusted change score
38.1
Denominator
952
Average observed change score
40.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
720
Denominator
952
Facility rate
75.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
759
Denominator
952
Facility rate
79.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
5
Denominator
1,061
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.044
SIR 95% confidence interval - upper limit
0.876
Comparative performance category
Better than the National Benchmark
Patient days
16,612
Predicted number of infections (B)
7.546
Number of infections reported (A)
2
SIR (A/B)
0.265
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
245
Rate of flu vaccination
97.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
96
Number of eligible stays
1,336
Unadjusted potentially preventable readmission rate
7.19
Risk-standardized potentially preventable readmission rate (RSRR)
7.55
Lower limit of the 95% confidence interval on the RSRR
6.46
Upper limit of the 95% confidence interval on the RSRR
8.84
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
49
Number of eligible stays
1,436
Unadjusted potentially preventable readmission rate
3.41
Risk-standardized potentially preventable readmission rate (RSRR)
3.82
Lower limit of the 95% confidence interval on the RSRR
2.87
Upper limit of the 95% confidence interval on the RSRR
4.68
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
856
Number of eligible stays
1,175
Observed discharge to community rate
72.85
Risk-standardized discharge to community rate
73.43
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.81
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.69
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
1,307
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,061
Denominator
1,061
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
1,059
Facility observed rate
0.8
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
221
Number of health care workers
236
Rate of COVID-19 vaccination
93.6