Roxborough Memorial Hospital


About the Facility

CMS Certification Number (CCN)
39T304
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
5800 Ridge Avenue
Phone Number
(215) 487-4551

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
22

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
38
Predicted number of infections (B)
0.103
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
46
Denominator
49
Facility rate
93.9
Change in patients ability to care for themselves
Average risk-adjusted change score
10.5
Denominator
40
Average observed change score
10.4
Change in patients ability to move around
Average risk-adjusted change score
28.0
Denominator
40
Average observed change score
27.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
19
Denominator
40
Facility rate
47.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
20
Denominator
40
Facility rate
50.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
49
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
1,402
Predicted number of infections (B)
0.723
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
21
Number of health care workers
21
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
Not Available
Number of eligible stays
19
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
Not Available
Number of eligible stays
19
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
Not Available
Number of eligible stays
18
Observed discharge to community rate
Not Available
Risk-standardized discharge to community rate
Not Available
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Comparative performance category
Not Available
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
Not Available
Number of eligible episodes
13
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
46
Denominator
49
Facility rate
93.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
49
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
26
Number of health care workers
26
Rate of COVID-19 vaccination
100.0