About the Facility
- CMS Certification Number (CCN)
- 40T016
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
Ave Ponce De Leon
- Phone Number
- (787) 758-2000
Facility Medical Condition Statistics
- All other conditions
- -
- Brain disease or condition (non-traumatic)
- -
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 92
- Hip or knee replacement, amputation or other bone or joint condition
- 129
- Nervous system disorder (excluding stroke)
- 81
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 57
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
- 54
- Predicted number of infections (B)
- 0.078
- 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
- 319
- Denominator
- 319
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 289
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 18.5
- Denominator
- 290
- Average observed change score
- 25.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 103
- Denominator
- 290
- Facility rate
- 35.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 52
- Denominator
- 290
- Facility rate
- 17.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 319
- 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
- 2.387
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,864
- Predicted number of infections (B)
- 1.255
- 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
- 177
- Number of health care workers
- 243
- Rate of flu vaccination
- 72.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 8
- Number of eligible stays
- 158
- Unadjusted potentially preventable readmission rate
- 5.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.34
- Lower limit of the 95% confidence interval on the RSRR
- 6.49
- Upper limit of the 95% confidence interval on the RSRR
- 10.77
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 175
- Unadjusted potentially preventable readmission rate
- 7.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.57
- Lower limit of the 95% confidence interval on the RSRR
- 4.45
- Upper limit of the 95% confidence interval on the RSRR
- 10.51
- 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)
- 119
- Number of eligible stays
- 151
- Observed discharge to community rate
- 78.81
- Risk-standardized discharge to community rate
- 71.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.27
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.84
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.70
- Number of eligible episodes
- 143
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 319
- Denominator
- 319
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 319
- Facility observed rate
- 1.9
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 61
- Number of health care workers
- 69
- Rate of COVID-19 vaccination
- 88.4