Cjw Medical Center


About the Facility

CMS Certification Number (CCN)
49T112
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
1401 Johnston-Willis Drive
Phone Number
(804) 483-6515

Facility Medical Condition Statistics

All other conditions
181
Brain disease or condition (non-traumatic)
66
Brain injury (traumatic)
20
Hip or femur fracture
70
Hip or knee replacement, amputation or other bone or joint condition
89
Nervous system disorder (excluding stroke)
49
Spinal cord disease or condition (non-traumatic)
36
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
159

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
1.729
Comparative performance category
No Different than the National Benchmark
Catheter days
959
Predicted number of infections (B)
1.733
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
635
Denominator
642
Facility rate
98.9
Change in patients ability to care for themselves
Average risk-adjusted change score
14.3
Denominator
533
Average observed change score
15.6
Change in patients ability to move around
Average risk-adjusted change score
38.1
Denominator
533
Average observed change score
39.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
409
Denominator
533
Facility rate
76.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
430
Denominator
533
Facility rate
80.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
642
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.675
Comparative performance category
Better than the National Benchmark
Patient days
11,164
Predicted number of infections (B)
4.440
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
41
Number of health care workers
61
Rate of flu vaccination
67.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
81
Number of eligible stays
915
Unadjusted potentially preventable readmission rate
8.85
Risk-standardized potentially preventable readmission rate (RSRR)
9.16
Lower limit of the 95% confidence interval on the RSRR
7.67
Upper limit of the 95% confidence interval on the RSRR
10.98
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
53
Number of eligible stays
1,016
Unadjusted potentially preventable readmission rate
5.22
Risk-standardized potentially preventable readmission rate (RSRR)
5.33
Lower limit of the 95% confidence interval on the RSRR
4.19
Upper limit of the 95% confidence interval on the RSRR
6.63
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)
590
Number of eligible stays
831
Observed discharge to community rate
71.00
Risk-standardized discharge to community rate
70.25
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.37
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.42
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
882
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
581
Denominator
642
Facility rate
90.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
21
Denominator
640
Facility observed rate
3.3
Facility risk-adjusted rate
3.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
79
Number of health care workers
88
Rate of COVID-19 vaccination
89.8