Grand View Hospital


About the Facility

CMS Certification Number (CCN)
39T057
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
700 Lawn Avenue
Phone Number
(215) 453-4731

Facility Medical Condition Statistics

All other conditions
72
Brain disease or condition (non-traumatic)
16
Brain injury (traumatic)
29
Hip or femur fracture
38
Hip or knee replacement, amputation or other bone or joint condition
72
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
68

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
273
Predicted number of infections (B)
0.539
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
319
Denominator
319
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.3
Denominator
269
Average observed change score
9.7
Change in patients ability to move around
Average risk-adjusted change score
17.7
Denominator
269
Average observed change score
19.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
110
Denominator
269
Facility rate
40.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
46
Denominator
269
Facility rate
17.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
319
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.180
SIR 95% confidence interval - upper limit
3.550
Comparative performance category
No Different than the National Benchmark
Patient days
4,279
Predicted number of infections (B)
1.861
Number of infections reported (A)
2
SIR (A/B)
1.074
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
29
Number of health care workers
34
Rate of flu vaccination
85.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
28
Number of eligible stays
407
Unadjusted potentially preventable readmission rate
6.88
Risk-standardized potentially preventable readmission rate (RSRR)
8.24
Lower limit of the 95% confidence interval on the RSRR
6.59
Upper limit of the 95% confidence interval on the RSRR
10.15
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
28
Number of eligible stays
457
Unadjusted potentially preventable readmission rate
6.13
Risk-standardized potentially preventable readmission rate (RSRR)
6.08
Lower limit of the 95% confidence interval on the RSRR
4.48
Upper limit of the 95% confidence interval on the RSRR
8.03
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)
233
Number of eligible stays
364
Observed discharge to community rate
64.01
Risk-standardized discharge to community rate
62.70
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.37
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.68
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
400
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
303
Denominator
319
Facility rate
95.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
318
Facility observed rate
1.6
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
29
Number of health care workers
33
Rate of COVID-19 vaccination
87.9