Ephrata Rehabilitation Unit


About the Facility

CMS Certification Number (CCN)
39T225
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
169 Martin Avenue
Phone Number
(717) 738-6488

Facility Medical Condition Statistics

All other conditions
29
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
-
Hip or femur fracture
16
Hip or knee replacement, amputation or other bone or joint condition
18
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
35

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
136
Predicted number of infections (B)
0.328
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
111
Denominator
111
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.2
Denominator
99
Average observed change score
11.6
Change in patients ability to move around
Average risk-adjusted change score
31.8
Denominator
99
Average observed change score
32.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
44
Denominator
99
Facility rate
44.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
58
Denominator
99
Facility rate
58.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
111
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
1,670
Predicted number of infections (B)
0.487
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
19
Number of health care workers
19
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
5
Number of eligible stays
113
Unadjusted potentially preventable readmission rate
4.42
Risk-standardized potentially preventable readmission rate (RSRR)
8.13
Lower limit of the 95% confidence interval on the RSRR
6.10
Upper limit of the 95% confidence interval on the RSRR
10.50
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
120
Unadjusted potentially preventable readmission rate
4.17
Risk-standardized potentially preventable readmission rate (RSRR)
5.03
Lower limit of the 95% confidence interval on the RSRR
3.09
Upper limit of the 95% confidence interval on the RSRR
7.93
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)
72
Number of eligible stays
100
Observed discharge to community rate
72.00
Risk-standardized discharge to community rate
69.25
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.28
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.33
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
112
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
109
Denominator
111
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
111
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
27
Number of health care workers
30
Rate of COVID-19 vaccination
90.0