Danville Regional Medical Ctr


About the Facility

CMS Certification Number (CCN)
49T075
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
142 South Main Street
Phone Number
(434) 799-4526

Facility Medical Condition Statistics

All other conditions
12
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
14
Hip or knee replacement, amputation or other bone or joint condition
21
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
24

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
62
Predicted number of infections (B)
0.132
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
87
Denominator
87
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
75
Average observed change score
13.8
Change in patients ability to move around
Average risk-adjusted change score
26.7
Denominator
75
Average observed change score
28.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
42
Denominator
75
Facility rate
56.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
30
Denominator
75
Facility rate
40.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
87
Facility rate
1.1
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
1,720
Predicted number of infections (B)
0.786
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
58
Number of health care workers
60
Rate of flu vaccination
96.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
5
Number of eligible stays
77
Unadjusted potentially preventable readmission rate
6.49
Risk-standardized potentially preventable readmission rate (RSRR)
8.74
Lower limit of the 95% confidence interval on the RSRR
6.60
Upper limit of the 95% confidence interval on the RSRR
11.49
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
2
Number of eligible stays
81
Unadjusted potentially preventable readmission rate
2.47
Risk-standardized potentially preventable readmission rate (RSRR)
4.75
Lower limit of the 95% confidence interval on the RSRR
3.15
Upper limit of the 95% confidence interval on the RSRR
6.62
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)
52
Number of eligible stays
68
Observed discharge to community rate
76.47
Risk-standardized discharge to community rate
68.58
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.76
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.48
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
81
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
83
Denominator
87
Facility rate
95.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
87
Facility observed rate
1.1
Facility risk-adjusted rate
1.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
56
Number of health care workers
69
Rate of COVID-19 vaccination
81.2