About the Facility
- CMS Certification Number (CCN)
- 49T038
- Ownership Type
- Non-profit
- CMS Region
- Philadelphia
- Certification Date
- Address
245 Medical Park Drive
- Phone Number
- (276) 378-2021
Facility Medical Condition Statistics
- All other conditions
- 45
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 11
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
- 139
- Predicted number of infections (B)
- 0.201
- 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
- 110
- Denominator
- 110
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 101
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.1
- Denominator
- 101
- Average observed change score
- 29.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 39
- Denominator
- 101
- Facility rate
- 38.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 33
- Denominator
- 101
- Facility rate
- 32.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 109
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,090
- Predicted number of infections (B)
- 0.830
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 27
- Number of health care workers
- 34
- Rate of flu vaccination
- 79.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 14
- Number of eligible stays
- 151
- Unadjusted potentially preventable readmission rate
- 9.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.92
- Lower limit of the 95% confidence interval on the RSRR
- 6.86
- Upper limit of the 95% confidence interval on the RSRR
- 11.57
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 157
- Unadjusted potentially preventable readmission rate
- 1.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.14
- Lower limit of the 95% confidence interval on the RSRR
- 2.74
- Upper limit of the 95% confidence interval on the RSRR
- 6.25
- 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)
- 81
- Number of eligible stays
- 120
- Observed discharge to community rate
- 67.50
- Risk-standardized discharge to community rate
- 64.50
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.23
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.14
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 155
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 106
- Denominator
- 110
- Facility rate
- 96.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 109
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 65
- Number of health care workers
- 73
- Rate of COVID-19 vaccination
- 89.0