Upmc Pinnacle Carlisle


About the Facility

CMS Certification Number (CCN)
39T058
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
361 Alexander Spring Road
Phone Number
(717) 960-3511

Facility Medical Condition Statistics

All other conditions
44
Brain disease or condition (non-traumatic)
11
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
32
Hip or knee replacement, amputation or other bone or joint condition
33
Nervous system disorder (excluding stroke)
63
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
34

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
233
Predicted number of infections (B)
0.336
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
224
Denominator
224
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
205
Average observed change score
13.7
Change in patients ability to move around
Average risk-adjusted change score
35.3
Denominator
205
Average observed change score
38.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
121
Denominator
205
Facility rate
59.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
138
Denominator
205
Facility rate
67.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
224
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.034
SIR 95% confidence interval - upper limit
3.335
Comparative performance category
No Different than the National Benchmark
Patient days
3,039
Predicted number of infections (B)
1.479
Number of infections reported (A)
1
SIR (A/B)
0.676
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
183
Number of health care workers
202
Rate of flu vaccination
90.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
21
Number of eligible stays
228
Unadjusted potentially preventable readmission rate
9.21
Risk-standardized potentially preventable readmission rate (RSRR)
8.52
Lower limit of the 95% confidence interval on the RSRR
6.80
Upper limit of the 95% confidence interval on the RSRR
10.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
9
Number of eligible stays
246
Unadjusted potentially preventable readmission rate
3.66
Risk-standardized potentially preventable readmission rate (RSRR)
4.38
Lower limit of the 95% confidence interval on the RSRR
2.97
Upper limit of the 95% confidence interval on the RSRR
6.52
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)
137
Number of eligible stays
205
Observed discharge to community rate
66.83
Risk-standardized discharge to community rate
66.82
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.96
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.21
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
221
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
223
Denominator
224
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
224
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
16
Number of health care workers
21
Rate of COVID-19 vaccination
76.2