Encompass Rehabilitation Hospital of Montgomery


About the Facility

CMS Certification Number (CCN)
013028
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
4465 Narrow Lane Rd
Phone Number
(334) 284-7821

Facility Medical Condition Statistics

All other conditions
431
Brain disease or condition (non-traumatic)
135
Brain injury (traumatic)
29
Hip or femur fracture
152
Hip or knee replacement, amputation or other bone or joint condition
244
Nervous system disorder (excluding stroke)
212
Spinal cord disease or condition (non-traumatic)
35
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
296

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
0.968
Comparative performance category
Better than the National Benchmark
Catheter days
2,866
Predicted number of infections (B)
3.095
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
1,511
Denominator
1,511
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
1,263
Average observed change score
13.0
Change in patients ability to move around
Average risk-adjusted change score
37.7
Denominator
1,263
Average observed change score
35.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
892
Denominator
1,263
Facility rate
70.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,022
Denominator
1,263
Facility rate
80.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,511
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.155
SIR 95% confidence interval - upper limit
1.176
Comparative performance category
No Different than the National Benchmark
Patient days
23,597
Predicted number of infections (B)
8.206
Number of infections reported (A)
4
SIR (A/B)
0.487
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
283
Number of health care workers
370
Rate of flu vaccination
76.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
190
Number of eligible stays
1,535
Unadjusted potentially preventable readmission rate
12.38
Risk-standardized potentially preventable readmission rate (RSRR)
10.34
Lower limit of the 95% confidence interval on the RSRR
9.23
Upper limit of the 95% confidence interval on the RSRR
11.58
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
111
Number of eligible stays
1,775
Unadjusted potentially preventable readmission rate
6.25
Risk-standardized potentially preventable readmission rate (RSRR)
5.50
Lower limit of the 95% confidence interval on the RSRR
4.73
Upper limit of the 95% confidence interval on the RSRR
6.50
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)
847
Number of eligible stays
1,365
Observed discharge to community rate
62.05
Risk-standardized discharge to community rate
65.78
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.21
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.23
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
1,517
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,505
Denominator
1,511
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
1,501
Facility observed rate
0.5
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
283
Number of health care workers
326
Rate of COVID-19 vaccination
86.8