Encompass Health Rehab Hospital of Morgantown


About the Facility

CMS Certification Number (CCN)
513030
Ownership Type
For Profit
CMS Region
Philadelphia
Certification Date
Address
1160 Van Voorhis Road
Phone Number
(304) 598-1100

Facility Medical Condition Statistics

All other conditions
320
Brain disease or condition (non-traumatic)
154
Brain injury (traumatic)
63
Hip or femur fracture
174
Hip or knee replacement, amputation or other bone or joint condition
359
Nervous system disorder (excluding stroke)
586
Spinal cord disease or condition (non-traumatic)
63
Spinal cord injury (traumatic)
13
Stroke
303

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
1.288
Comparative performance category
No Different than the National Benchmark
Catheter days
2,115
Predicted number of infections (B)
2.325
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
1,971
Denominator
1,971
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
1,729
Average observed change score
13.7
Change in patients ability to move around
Average risk-adjusted change score
34.9
Denominator
1,729
Average observed change score
36.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,189
Denominator
1,729
Facility rate
68.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,274
Denominator
1,729
Facility rate
73.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,971
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.004
SIR 95% confidence interval - upper limit
0.390
Comparative performance category
Better than the National Benchmark
Patient days
29,571
Predicted number of infections (B)
12.644
Number of infections reported (A)
1
SIR (A/B)
0.079
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
453
Number of health care workers
492
Rate of flu vaccination
92.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
245
Number of eligible stays
2,036
Unadjusted potentially preventable readmission rate
12.03
Risk-standardized potentially preventable readmission rate (RSRR)
10.06
Lower limit of the 95% confidence interval on the RSRR
9.03
Upper limit of the 95% confidence interval on the RSRR
11.10
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
116
Number of eligible stays
2,276
Unadjusted potentially preventable readmission rate
5.10
Risk-standardized potentially preventable readmission rate (RSRR)
4.57
Lower limit of the 95% confidence interval on the RSRR
3.78
Upper limit of the 95% confidence interval on the RSRR
5.36
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)
1,175
Number of eligible stays
1,823
Observed discharge to community rate
64.45
Risk-standardized discharge to community rate
67.77
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.68
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.83
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
2,109
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,960
Denominator
1,971
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
24
Denominator
1,965
Facility observed rate
1.2
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
877
Number of health care workers
917
Rate of COVID-19 vaccination
95.6