Wellspan Surgery and Rehabilitation Hospital
Inpatient rehabilitation facility · York, PA · Non-profit
Wellspan Surgery and Rehabilitation Hospital is an inpatient rehabilitation facility in York, Pennsylvania. It reports treating about 87 spinal cord injury patients a year, and scores 80 out of 100 on the SCI.help rehab quality score, ranking #17 of the 1104 US inpatient rehabilitation facilities CMS publishes enough data to rate. It holds CARF Spinal Cord System of Care accreditation.
How the score breaks down
Each CMS measure is converted to a national percentile and direction-normalized so higher is always better. Domain scores are weighted averages of the measures a facility actually reported, so missing data is never scored as worst.
| Domain | Score | Weight |
|---|---|---|
| Function at discharge | 58 / 100 | 30% of the overall score |
| Outcomes after discharge | 78 / 100 | 35% of the overall score |
| Safety and infection control | 53 / 100 | 35% of the overall score |
| Process measures | 43 / 100 | not weighted |
Volume and SCI specialization are then folded in, because CMS measures cover all rehabilitation patients rather than spinal cord injury specifically:
| Step | Value | Weight |
|---|---|---|
| CMS quality composite | 63.4 / 100 | 75% of the blend |
| SCI patient volume, as a national percentile | 89 / 100 | 25% of the blend |
| Blended | 70 / 100 | |
| CARF Spinal Cord accreditation bonus | +10 | flat |
| Overall | 80 / 100 | capped at 100 |
Based on 14 of 14 measures reported to CMS.
CMS quality measures
Every measure CMS publishes for this facility, with the national median beside it. Percentile is this facility's standing among all 1221 US inpatient rehabilitation facilities, where 100 is best.
| CMS measure | This facility | National median | Percentile |
|---|---|---|---|
| Discharge function score (self-care + mobility) Function at discharge | 70.2% | 61.87% | 62 top 38% nationally |
| Discharge self-care score Function at discharge | 57.69% | 60% | 47 bottom 47% nationally |
| Discharge mobility score Function at discharge | 67.58% | 56.51% | 63 top 37% nationally |
| Successful return to home/community (risk-standardized) Outcomes after discharge · Better than the National Rate | 74.39% | 67.56% | 94 top 6% nationally |
| Preventable readmission, 30 days after discharge (risk-std) Outcomes after discharge · No Different than the National Rate | 8.88% | 9.16% | 65 top 35% nationally |
| Preventable readmission during the stay (risk-std) Outcomes after discharge · No Different than the National Rate | 4.59% | 4.69% | 56 top 44% nationally |
| New or worsened pressure ulcers (risk-adjusted) Safety and infection control | 0.08% | 0.64% | 83 top 17% nationally |
| Catheter-associated UTI (standardized infection ratio) Safety and infection control · No Different than the National Benchmark | 2.39ratio | 0.8ratio | 12 bottom 12% nationally |
| C. difficile infection (standardized infection ratio) Safety and infection control · Better than the National Benchmark | 0.27ratio | 0.17ratio | 42 bottom 42% nationally |
| Falls with major injury Safety and infection control | 0% | 0% | 72 top 28% nationally |
| Staff flu vaccination Other | 92.14% | 81.03% | 78 top 22% nationally |
| Medications reviewed with follow-up Other | 98.96% | 99.44% | 36 bottom 36% nationally |
| Med list given to patient/caregiver Other | 97.62% | 100% | 22 bottom 22% nationally |
| Med list given to next care setting Other | 99.48% | 99.77% | 40 bottom 40% nationally |
Who this facility treats
Annual patient counts by condition, as reported to CMS. Counts under 11 are suppressed by CMS for privacy and appear as "Less than 11".
| Condition treated | Patients per year |
|---|---|
| All other conditions | 287 |
| Stroke | 229 |
| Hip or knee replacement, amputation or other bone or joint condition | 209 |
| Hip or femur fracture | 174 |
| Nervous system disorder (excluding stroke) | 75 |
| Spinal cord disease or condition (non-traumatic) | 68 |
| Brain injury (traumatic) | 59 |
| Brain disease or condition (non-traumatic) | 56 |
| Spinal cord injury (traumatic) | 19 |
Contact and details
| Address | 55 Monument Rd, York, PA, 17403 |
| Phone | (717) 812-6100 |
| CMS provider name | WELLSPAN SURGERY AND REHABILITATION HOSPITAL |
| CMS Certification Number | 39T327 |
| Ownership | Non-profit |
Phone numbers in the CMS provider file are sometimes a corporate or billing line rather than the rehab unit. Call and ask for the spinal cord injury program directly.
Three questions to ask this facility
- "How many spinal cord injury patients are on the unit right now?" The CMS figure above is a year old by the time it publishes.
- "What is your protocol for autonomic dysreflexia?" A specialized unit answers instantly. See the AD protocol.
- "Will I leave with the right wheelchair ordered?" Ask whether seating evaluation happens in-house.
The full list, and what the answers should sound like, is in choosing an SCI rehab facility and what to ask before discharge.
Other SCI rehab options in Pennsylvania
- Encompass Health Rehabilitation Hospital of York,, York · 5 mi · 68/100
- Lancaster Rehabilitation Hospital, Lancaster · 23 mi · 83/100
- Encompass Health Rehabilitation Hospital of Mechan, Mechanicsburg · 23 mi · 58/100
- Penn State Health Rehabilitation Hospital, Hummelstown · 26 mi · 69/100
- Helen M Simpson Rehabilitation Hospital, Harrisburg · 26 mi · 61/100
- The Good Samaritan Hospital, Lebanon · 31 mi · 46/100
See all inpatient rehab facilities in Pennsylvania that treat spinal cord injury →
Where this data comes from
Facility data on this page is from CMS Care Compare — Inpatient Rehabilitation Facility (IRF) QRP, Provider Data Mar 2026, published by the Centers for Medicare & Medicaid Services and processed 2026-06-08. CARF Spinal Cord System of Care status is from CARF's public provider directory. SCI Model System designation is from the federally funded SCI Model Systems program. The 100-point score is calculated by SCI.help; the full methodology and the underlying dataset are public.
A quality score is a starting point, not a recommendation. CMS measures cover all rehabilitation patients, not spinal cord injury specifically, and no public dataset captures how good a program is at SCI in particular. Use this to build a shortlist, then call and ask the questions above.