About the Facility
- CMS Certification Number (CCN)
- 40T021
- Ownership Type
- Non-profit
- CMS Region
- New York
- Certification Date
- Address
Hwy 2 Km 173.4
- Phone Number
- (787) 892-1860
Facility Medical Condition Statistics
- All other conditions
- 49
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 122
- Hip or knee replacement, amputation or other bone or joint condition
- 88
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 127
- Spinal cord injury (traumatic)
- -
- Stroke
- 119
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
- 1.389
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 792
- Predicted number of infections (B)
- 2.157
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 533
- Denominator
- 533
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 6.8
- Denominator
- 504
- Average observed change score
- 8.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 18.8
- Denominator
- 504
- Average observed change score
- 22.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 120
- Denominator
- 504
- Facility rate
- 23.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 97
- Denominator
- 504
- Facility rate
- 19.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 533
- 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
- 1.097
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,719
- Predicted number of infections (B)
- 2.730
- 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
- 22
- Number of health care workers
- 37
- Rate of flu vaccination
- 59.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 2
- Number of eligible stays
- 70
- Unadjusted potentially preventable readmission rate
- 2.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.42
- Lower limit of the 95% confidence interval on the RSRR
- 6.33
- Upper limit of the 95% confidence interval on the RSRR
- 11.34
- 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
- 80
- Unadjusted potentially preventable readmission rate
- 3.75
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.55
- Upper limit of the 95% confidence interval on the RSRR
- 7.63
- 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)
- 52
- Number of eligible stays
- 64
- Observed discharge to community rate
- 81.25
- Risk-standardized discharge to community rate
- 74.21
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.44
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 81.05
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 51
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 532
- Denominator
- 533
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 21
- Denominator
- 532
- Facility observed rate
- 3.9
- Facility risk-adjusted rate
- 3.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 25
- Number of health care workers
- 25
- Rate of COVID-19 vaccination
- 100.0