About the Facility
- CMS Certification Number (CCN)
- 403025
- Ownership Type
- For Profit
- CMS Region
- New York
- Certification Date
- Address
3rd Floor University Hospital Medical Center
- Phone Number
- (787) 274-5100
Facility Medical Condition Statistics
- All other conditions
- 50
- Brain disease or condition (non-traumatic)
- 40
- Brain injury (traumatic)
- 52
- Hip or femur fracture
- 158
- Hip or knee replacement, amputation or other bone or joint condition
- 128
- Nervous system disorder (excluding stroke)
- 140
- Spinal cord disease or condition (non-traumatic)
- 52
- Spinal cord injury (traumatic)
- 15
- Stroke
- 210
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
- 304
- Predicted number of infections (B)
- 0.827
- 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
- 822
- Denominator
- 825
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 764
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.3
- Denominator
- 764
- Average observed change score
- 29.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 399
- Denominator
- 764
- Facility rate
- 52.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 441
- Denominator
- 764
- Facility rate
- 57.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 825
- 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
- 0.941
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 11,871
- Predicted number of infections (B)
- 3.183
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 160
- Number of health care workers
- 201
- Rate of flu vaccination
- 79.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 12
- Number of eligible stays
- 135
- Unadjusted potentially preventable readmission rate
- 8.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.76
- Lower limit of the 95% confidence interval on the RSRR
- 7.40
- Upper limit of the 95% confidence interval on the RSRR
- 12.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 139
- Unadjusted potentially preventable readmission rate
- 2.16
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.53
- Lower limit of the 95% confidence interval on the RSRR
- 3.09
- Upper limit of the 95% confidence interval on the RSRR
- 6.51
- 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)
- 95
- Number of eligible stays
- 119
- Observed discharge to community rate
- 79.83
- Risk-standardized discharge to community rate
- 73.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.01
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 110
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 805
- Denominator
- 825
- Facility rate
- 97.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 824
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 142
- Number of health care workers
- 170
- Rate of COVID-19 vaccination
- 83.5