ENCOMPASS HEALTH REHAB HOSPITAL OF MORGANTOWN

CMS Certification Number

513030

Ownership Type

For profit

Catheter-associated urinary tract infections (CAUTI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

Not Available

6

Other Measure

1.288

-

Catheter-associated urinary tract infections (CAUTI) - Comparative performance category

No Different than the National Benchmark

-

Catheter-associated urinary tract infections (CAUTI) - Catheter days

2,115

-

Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)

2.325

-

Catheter-associated urinary tract infections (CAUTI) - Number of infections reported (A)

0

-

Catheter-associated urinary tract infections (CAUTI)

0.000

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Denominator

1,971

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator

1,971

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan

100.0

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Denominator

1,971

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Numerator

2

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay

0.1

-

Change in patients' ability to care for themselves

13.2

-

Change in patients' ability to care for themselves - Denominator

1,729

-

Change in patients' ability to care for themselves - Average observed change score

13.7

-

Change in patients' ability to move around

34.9

-

Change in patients' ability to move around - Denominator

1,729

-

Change in patients' ability to move around - Average observed change score

36.0

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

1,729

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

1,189

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge

68.8

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

1,729

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

1,274

-

Percentage of patients who are at or above an expected ability to move around at discharge

73.7

-

Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

0.004

-

Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit

0.390

-

Clostridium difficile Infection (CDI) - Comparative performance category

Better than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

29,571

-

Clostridium difficile Infection (CDI) - Predicted number of infections (B)

12.644

-

Clostridium difficile Infection (CDI) - Number of infections reported (A)

1

-

Clostridium difficile Infection (CDI)

0.079

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers

492

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated

453

-

Percentage of healthcare personnel who got a flu shot for the current season

92.1

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Comparative performance category

Worse than the National Rate

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Unadjusted potentially preventable readmission rate

12.03

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge

245

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF

10.06

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR

9.03

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR

11.10

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays

2,036

-

Rate of potentially preventable hospital readmissions during the IRF stay - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions during the IRF stay - Unadjusted potentially preventable readmission rate

5.10

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions

116

-

Rate of potentially preventable hospital readmissions during the IRF stay

4.57

-

Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR

3.78

-

Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR

5.36

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays

2,276

-

Rate of successful return to home or community from an IRF - 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

-

Rate of successful return to home or community from an IRF - Observed discharge to community rate

64.45

-

Rate of successful return to home or community from an IRF

67.77

-

Rate of successful return to home or community from an IRF - Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

65.68

-

Rate of successful return to home or community from an IRF - Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

69.83

-

Rate of successful return to home or community from an IRF - Number of eligible stays

1,823

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes

2,109

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.98

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator

1,971

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator

1,960

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

99.4

-

Other Measure

1.2

-

Other Measure

1,965

-

Other Measure

24

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

1.2

-

Other Measure

917

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated

877

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series

95.6

-