Sentara Virginia Beach General


About the Facility

CMS Certification Number (CCN)
49T057
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
1060 First Colonial Rd
Phone Number
(757) 388-4261

Facility Medical Condition Statistics

All other conditions
19
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
11
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
37

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
192
Predicted number of infections (B)
0.522
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
118
Denominator
118
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.5
Denominator
107
Average observed change score
17.9
Change in patients ability to move around
Average risk-adjusted change score
37.6
Denominator
107
Average observed change score
40.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
84
Denominator
107
Facility rate
78.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
82
Denominator
107
Facility rate
76.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
118
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.041
SIR 95% confidence interval - upper limit
4.067
Comparative performance category
No Different than the National Benchmark
Patient days
2,691
Predicted number of infections (B)
1.213
Number of infections reported (A)
1
SIR (A/B)
0.825
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
115
Number of health care workers
118
Rate of flu vaccination
97.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
166
Unadjusted potentially preventable readmission rate
7.23
Risk-standardized potentially preventable readmission rate (RSRR)
8.43
Lower limit of the 95% confidence interval on the RSRR
6.49
Upper limit of the 95% confidence interval on the RSRR
10.86
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
9
Number of eligible stays
183
Unadjusted potentially preventable readmission rate
4.92
Risk-standardized potentially preventable readmission rate (RSRR)
4.82
Lower limit of the 95% confidence interval on the RSRR
3.29
Upper limit of the 95% confidence interval on the RSRR
7.07
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)
124
Number of eligible stays
154
Observed discharge to community rate
80.52
Risk-standardized discharge to community rate
78.54
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.60
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
83.84
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
168
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
118
Denominator
118
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
118
Facility observed rate
0.8
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
104
Number of health care workers
108
Rate of COVID-19 vaccination
96.3