St Mary Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
393055
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
1208 Langhorne-Newtown Road
Phone Number
(267) 688-0711

Facility Medical Condition Statistics

All other conditions
255
Brain disease or condition (non-traumatic)
83
Brain injury (traumatic)
62
Hip or femur fracture
142
Hip or knee replacement, amputation or other bone or joint condition
167
Nervous system disorder (excluding stroke)
84
Spinal cord disease or condition (non-traumatic)
56
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
254

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.160
SIR 95% confidence interval - upper limit
3.157
Comparative performance category
No Different than the National Benchmark
Catheter days
1,350
Predicted number of infections (B)
2.093
Number of infections reported (A)
2
SIR (A/B)
0.956
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,059
Denominator
1,059
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.8
Denominator
900
Average observed change score
17.0
Change in patients ability to move around
Average risk-adjusted change score
39.4
Denominator
900
Average observed change score
40.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
756
Denominator
900
Facility rate
84.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
723
Denominator
900
Facility rate
80.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,059
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.028
SIR 95% confidence interval - upper limit
3.082
Comparative performance category
Worse than the National Benchmark
Patient days
14,917
Predicted number of infections (B)
7.033
Number of infections reported (A)
13
SIR (A/B)
1.848
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
239
Number of health care workers
305
Rate of flu vaccination
78.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
151
Number of eligible stays
1,194
Unadjusted potentially preventable readmission rate
12.65
Risk-standardized potentially preventable readmission rate (RSRR)
11.60
Lower limit of the 95% confidence interval on the RSRR
10.17
Upper limit of the 95% confidence interval on the RSRR
13.18
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
58
Number of eligible stays
1,304
Unadjusted potentially preventable readmission rate
4.45
Risk-standardized potentially preventable readmission rate (RSRR)
4.45
Lower limit of the 95% confidence interval on the RSRR
3.56
Upper limit of the 95% confidence interval on the RSRR
5.37
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)
679
Number of eligible stays
1,074
Observed discharge to community rate
63.22
Risk-standardized discharge to community rate
65.32
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.45
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.06
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
1,128
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,047
Denominator
1,059
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
17
Denominator
1,056
Facility observed rate
1.6
Facility risk-adjusted rate
1.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
269
Number of health care workers
288
Rate of COVID-19 vaccination
93.4