Winchester Rehabilitation Ctr


About the Facility

CMS Certification Number (CCN)
49T005
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
333 West Cork Street
Phone Number
(540) 536-5416

Facility Medical Condition Statistics

All other conditions
66
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
17
Hip or femur fracture
64
Hip or knee replacement, amputation or other bone or joint condition
56
Nervous system disorder (excluding stroke)
15
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
91

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
233
Predicted number of infections (B)
0.636
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
357
Denominator
357
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.6
Denominator
301
Average observed change score
11.9
Change in patients ability to move around
Average risk-adjusted change score
31.5
Denominator
301
Average observed change score
32.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
185
Denominator
301
Facility rate
61.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
204
Denominator
301
Facility rate
67.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
357
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.145
SIR 95% confidence interval - upper limit
2.857
Comparative performance category
No Different than the National Benchmark
Patient days
6,003
Predicted number of infections (B)
2.313
Number of infections reported (A)
2
SIR (A/B)
0.865
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
66
Number of health care workers
78
Rate of flu vaccination
84.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
23
Number of eligible stays
357
Unadjusted potentially preventable readmission rate
6.44
Risk-standardized potentially preventable readmission rate (RSRR)
8.41
Lower limit of the 95% confidence interval on the RSRR
6.78
Upper limit of the 95% confidence interval on the RSRR
10.72
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
11
Number of eligible stays
391
Unadjusted potentially preventable readmission rate
2.81
Risk-standardized potentially preventable readmission rate (RSRR)
4.40
Lower limit of the 95% confidence interval on the RSRR
3.21
Upper limit of the 95% confidence interval on the RSRR
5.95
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)
238
Number of eligible stays
336
Observed discharge to community rate
70.83
Risk-standardized discharge to community rate
66.38
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.93
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.30
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.89
Number of eligible episodes
373
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
354
Denominator
357
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
357
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
67
Number of health care workers
68
Rate of COVID-19 vaccination
98.5