Encompass Health Rehab Hospital of Fredericksburg


About the Facility

CMS Certification Number (CCN)
493032
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
300 Park Hill Drive
Phone Number
(540) 368-7300

Facility Medical Condition Statistics

All other conditions
124
Brain disease or condition (non-traumatic)
41
Brain injury (traumatic)
21
Hip or femur fracture
113
Hip or knee replacement, amputation or other bone or joint condition
201
Nervous system disorder (excluding stroke)
414
Spinal cord disease or condition (non-traumatic)
25
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
232

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
1.661
Comparative performance category
No Different than the National Benchmark
Catheter days
1,319
Predicted number of infections (B)
1.804
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
1,155
Denominator
1,155
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.7
Denominator
1,024
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
36.6
Denominator
1,026
Average observed change score
34.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
841
Denominator
1,026
Facility rate
82.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
812
Denominator
1,026
Facility rate
79.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,155
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.392
SIR 95% confidence interval - upper limit
2.010
Comparative performance category
No Different than the National Benchmark
Patient days
19,451
Predicted number of infections (B)
6.210
Number of infections reported (A)
6
SIR (A/B)
0.966
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
221
Number of health care workers
292
Rate of flu vaccination
75.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
147
Number of eligible stays
1,465
Unadjusted potentially preventable readmission rate
10.03
Risk-standardized potentially preventable readmission rate (RSRR)
9.05
Lower limit of the 95% confidence interval on the RSRR
7.88
Upper limit of the 95% confidence interval on the RSRR
10.42
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
79
Number of eligible stays
1,610
Unadjusted potentially preventable readmission rate
4.91
Risk-standardized potentially preventable readmission rate (RSRR)
4.90
Lower limit of the 95% confidence interval on the RSRR
3.96
Upper limit of the 95% confidence interval on the RSRR
5.88
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)
907
Number of eligible stays
1,287
Observed discharge to community rate
70.47
Risk-standardized discharge to community rate
70.72
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.20
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.26
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
1,555
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,152
Denominator
1,155
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
19
Denominator
1,154
Facility observed rate
1.6
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
226
Number of health care workers
266
Rate of COVID-19 vaccination
85.0