Uva Encompass Health Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
493029
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
515 Ray C Hunt Drive
Phone Number
(434) 244-2000

Facility Medical Condition Statistics

All other conditions
279
Brain disease or condition (non-traumatic)
87
Brain injury (traumatic)
36
Hip or femur fracture
52
Hip or knee replacement, amputation or other bone or joint condition
191
Nervous system disorder (excluding stroke)
83
Spinal cord disease or condition (non-traumatic)
51
Spinal cord injury (traumatic)
16
Stroke
234

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.044
SIR 95% confidence interval - upper limit
4.319
Comparative performance category
No Different than the National Benchmark
Catheter days
625
Predicted number of infections (B)
1.142
Number of infections reported (A)
1
SIR (A/B)
0.876
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,000
Denominator
1,001
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
855
Average observed change score
12.6
Change in patients ability to move around
Average risk-adjusted change score
38.0
Denominator
855
Average observed change score
38.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
541
Denominator
855
Facility rate
63.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
690
Denominator
855
Facility rate
80.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,001
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.351
SIR 95% confidence interval - upper limit
2.121
Comparative performance category
No Different than the National Benchmark
Patient days
15,192
Predicted number of infections (B)
5.226
Number of infections reported (A)
5
SIR (A/B)
0.957
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
164
Number of health care workers
253
Rate of flu vaccination
64.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
55
Number of eligible stays
1,000
Unadjusted potentially preventable readmission rate
5.50
Risk-standardized potentially preventable readmission rate (RSRR)
7.07
Lower limit of the 95% confidence interval on the RSRR
5.86
Upper limit of the 95% confidence interval on the RSRR
8.39
Comparative performance category
Better than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
49
Number of eligible stays
1,096
Unadjusted potentially preventable readmission rate
4.47
Risk-standardized potentially preventable readmission rate (RSRR)
4.78
Lower limit of the 95% confidence interval on the RSRR
3.75
Upper limit of the 95% confidence interval on the RSRR
6.02
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)
641
Number of eligible stays
888
Observed discharge to community rate
72.18
Risk-standardized discharge to community rate
72.02
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.35
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.48
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
1,086
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
998
Denominator
1,001
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
1,000
Facility observed rate
0.7
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
227
Number of health care workers
269
Rate of COVID-19 vaccination
84.4