Encompass Health Rehabilitation Hospital North Al


About the Facility

CMS Certification Number (CCN)
013029
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1490 Highway 72 E
Phone Number
(205) 535-2300

Facility Medical Condition Statistics

All other conditions
478
Brain disease or condition (non-traumatic)
114
Brain injury (traumatic)
66
Hip or femur fracture
155
Hip or knee replacement, amputation or other bone or joint condition
311
Nervous system disorder (excluding stroke)
216
Spinal cord disease or condition (non-traumatic)
45
Spinal cord injury (traumatic)
11
Stroke
305

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
0.748
Comparative performance category
Better than the National Benchmark
Catheter days
2,723
Predicted number of infections (B)
4.005
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
1,690
Denominator
1,690
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
1,470
Average observed change score
13.2
Change in patients ability to move around
Average risk-adjusted change score
34.7
Denominator
1,471
Average observed change score
35.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
936
Denominator
1,471
Facility rate
63.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,024
Denominator
1,471
Facility rate
69.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,690
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.191
SIR 95% confidence interval - upper limit
0.980
Comparative performance category
Better than the National Benchmark
Patient days
29,089
Predicted number of infections (B)
12.734
Number of infections reported (A)
6
SIR (A/B)
0.471
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
216
Number of health care workers
408
Rate of flu vaccination
52.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
162
Number of eligible stays
1,650
Unadjusted potentially preventable readmission rate
9.82
Risk-standardized potentially preventable readmission rate (RSRR)
9.34
Lower limit of the 95% confidence interval on the RSRR
8.21
Upper limit of the 95% confidence interval on the RSRR
10.65
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
95
Number of eligible stays
1,842
Unadjusted potentially preventable readmission rate
5.16
Risk-standardized potentially preventable readmission rate (RSRR)
5.06
Lower limit of the 95% confidence interval on the RSRR
4.10
Upper limit of the 95% confidence interval on the RSRR
6.17
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)
1,007
Number of eligible stays
1,470
Observed discharge to community rate
68.50
Risk-standardized discharge to community rate
70.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.13
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.76
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
1,554
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,681
Denominator
1,690
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
12
Denominator
1,687
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
322
Number of health care workers
391
Rate of COVID-19 vaccination
82.4