Encompass Health Rehab Hospital of Northern Va


About the Facility

CMS Certification Number (CCN)
493033
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
24430 Millstream Drive
Phone Number
(703) 957-2000

Facility Medical Condition Statistics

All other conditions
166
Brain disease or condition (non-traumatic)
166
Brain injury (traumatic)
40
Hip or femur fracture
171
Hip or knee replacement, amputation or other bone or joint condition
362
Nervous system disorder (excluding stroke)
371
Spinal cord disease or condition (non-traumatic)
28
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
197

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.473
SIR 95% confidence interval - upper limit
5.059
Comparative performance category
No Different than the National Benchmark
Catheter days
1,493
Predicted number of infections (B)
1.614
Number of infections reported (A)
3
SIR (A/B)
1.859
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,451
Denominator
1,454
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
13.6
Denominator
1,323
Average observed change score
14.1
Change in patients ability to move around
Average risk-adjusted change score
35.7
Denominator
1,323
Average observed change score
36.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
976
Denominator
1,323
Facility rate
73.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,004
Denominator
1,323
Facility rate
75.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,454
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.336
Comparative performance category
Better than the National Benchmark
Patient days
20,833
Predicted number of infections (B)
8.907
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
385
Number of health care workers
495
Rate of flu vaccination
77.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
149
Number of eligible stays
1,769
Unadjusted potentially preventable readmission rate
8.42
Risk-standardized potentially preventable readmission rate (RSRR)
9.01
Lower limit of the 95% confidence interval on the RSRR
7.93
Upper limit of the 95% confidence interval on the RSRR
10.30
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
88
Number of eligible stays
1,917
Unadjusted potentially preventable readmission rate
4.59
Risk-standardized potentially preventable readmission rate (RSRR)
5.14
Lower limit of the 95% confidence interval on the RSRR
4.24
Upper limit of the 95% confidence interval on the RSRR
6.16
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)
1,109
Number of eligible stays
1,555
Observed discharge to community rate
71.32
Risk-standardized discharge to community rate
70.35
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.23
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.38
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
1,912
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,441
Denominator
1,454
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
1,454
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
287
Number of health care workers
309
Rate of COVID-19 vaccination
92.9