Lewis-Gale Medical Center


About the Facility

CMS Certification Number (CCN)
49T048
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
1900 Electric Road
Phone Number
(540) 776-4472

Facility Medical Condition Statistics

All other conditions
162
Brain disease or condition (non-traumatic)
56
Brain injury (traumatic)
35
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
52
Nervous system disorder (excluding stroke)
26
Spinal cord disease or condition (non-traumatic)
25
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
140

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
420
Predicted number of infections (B)
0.870
Number of infections reported (A)
4
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
493
Denominator
493
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.7
Denominator
438
Average observed change score
16.8
Change in patients ability to move around
Average risk-adjusted change score
36.9
Denominator
438
Average observed change score
36.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
387
Denominator
438
Facility rate
88.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
378
Denominator
438
Facility rate
86.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
493
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
0.880
Comparative performance category
Better than the National Benchmark
Patient days
7,258
Predicted number of infections (B)
3.404
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
65
Number of health care workers
96
Rate of flu vaccination
67.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
63
Number of eligible stays
666
Unadjusted potentially preventable readmission rate
9.46
Risk-standardized potentially preventable readmission rate (RSRR)
9.25
Lower limit of the 95% confidence interval on the RSRR
7.84
Upper limit of the 95% confidence interval on the RSRR
11.29
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
36
Number of eligible stays
723
Unadjusted potentially preventable readmission rate
4.98
Risk-standardized potentially preventable readmission rate (RSRR)
5.22
Lower limit of the 95% confidence interval on the RSRR
4.04
Upper limit of the 95% confidence interval on the RSRR
6.53
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)
406
Number of eligible stays
593
Observed discharge to community rate
68.47
Risk-standardized discharge to community rate
67.32
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.96
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.43
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
608
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
492
Denominator
493
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
490
Facility observed rate
1.8
Facility risk-adjusted rate
2.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
32
Number of health care workers
48
Rate of COVID-19 vaccination
66.7