Musc Health Lancaster Rehabilitation Ctr


About the Facility

CMS Certification Number (CCN)
42T036
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
800 W Meeting St
Phone Number
(803) 286-1308

Facility Medical Condition Statistics

All other conditions
75
Brain disease or condition (non-traumatic)
17
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
45
Hip or knee replacement, amputation or other bone or joint condition
42
Nervous system disorder (excluding stroke)
14
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
49

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
327
Predicted number of infections (B)
0.472
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
245
Denominator
246
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
228
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
28.1
Denominator
228
Average observed change score
28.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
145
Denominator
228
Facility rate
63.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
108
Denominator
228
Facility rate
47.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
246
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.021
SIR 95% confidence interval - upper limit
2.047
Comparative performance category
No Different than the National Benchmark
Patient days
4,825
Predicted number of infections (B)
2.409
Number of infections reported (A)
1
SIR (A/B)
0.415
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
114
Number of health care workers
124
Rate of flu vaccination
91.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
298
Unadjusted potentially preventable readmission rate
8.05
Risk-standardized potentially preventable readmission rate (RSRR)
8.14
Lower limit of the 95% confidence interval on the RSRR
6.35
Upper limit of the 95% confidence interval on the RSRR
10.06
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
16
Number of eligible stays
324
Unadjusted potentially preventable readmission rate
4.94
Risk-standardized potentially preventable readmission rate (RSRR)
4.99
Lower limit of the 95% confidence interval on the RSRR
3.44
Upper limit of the 95% confidence interval on the RSRR
7.13
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)
174
Number of eligible stays
265
Observed discharge to community rate
65.66
Risk-standardized discharge to community rate
65.82
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.71
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.34
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
279
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
244
Denominator
246
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
246
Facility observed rate
2.0
Facility risk-adjusted rate
2.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
31
Number of health care workers
42
Rate of COVID-19 vaccination
73.8