Canonsburg General Hospital


About the Facility

CMS Certification Number (CCN)
39T160
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
100 Medical Boulevard
Phone Number
(724) 745-3908

Facility Medical Condition Statistics

All other conditions
48
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
21
Hip or femur fracture
23
Hip or knee replacement, amputation or other bone or joint condition
44
Nervous system disorder (excluding stroke)
12
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
81

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.033
SIR 95% confidence interval - upper limit
3.236
Comparative performance category
No Different than the National Benchmark
Catheter days
559
Predicted number of infections (B)
1.524
Number of infections reported (A)
1
SIR (A/B)
0.656
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
273
Denominator
274
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
9.2
Denominator
233
Average observed change score
8.7
Change in patients ability to move around
Average risk-adjusted change score
23.8
Denominator
233
Average observed change score
24.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
83
Denominator
233
Facility rate
35.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
87
Denominator
233
Facility rate
37.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
274
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.143
SIR 95% confidence interval - upper limit
2.809
Comparative performance category
No Different than the National Benchmark
Patient days
5,144
Predicted number of infections (B)
2.352
Number of infections reported (A)
2
SIR (A/B)
0.850
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
8
Number of health care workers
23
Rate of flu vaccination
34.8
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
198
Unadjusted potentially preventable readmission rate
10.61
Risk-standardized potentially preventable readmission rate (RSRR)
9.88
Lower limit of the 95% confidence interval on the RSRR
7.74
Upper limit of the 95% confidence interval on the RSRR
12.62
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
228
Unadjusted potentially preventable readmission rate
7.46
Risk-standardized potentially preventable readmission rate (RSRR)
6.74
Lower limit of the 95% confidence interval on the RSRR
4.72
Upper limit of the 95% confidence interval on the RSRR
9.55
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)
114
Number of eligible stays
181
Observed discharge to community rate
62.98
Risk-standardized discharge to community rate
61.58
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.15
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.69
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
205
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
272
Denominator
274
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
273
Facility observed rate
4.0
Facility risk-adjusted rate
4.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
20
Number of health care workers
22
Rate of COVID-19 vaccination
90.9