Encompass Health Rehabilitation Hospital Gadsden


About the Facility

CMS Certification Number (CCN)
013032
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
801 Goodyear Ave
Phone Number
(256) 439-5000

Facility Medical Condition Statistics

All other conditions
150
Brain disease or condition (non-traumatic)
105
Brain injury (traumatic)
36
Hip or femur fracture
98
Hip or knee replacement, amputation or other bone or joint condition
187
Nervous system disorder (excluding stroke)
339
Spinal cord disease or condition (non-traumatic)
36
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
139

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
2.172
Comparative performance category
No Different than the National Benchmark
Catheter days
1,277
Predicted number of infections (B)
1.379
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
1,069
Denominator
1,069
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.8
Denominator
914
Average observed change score
14.9
Change in patients ability to move around
Average risk-adjusted change score
37.6
Denominator
914
Average observed change score
38.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
663
Denominator
914
Facility rate
72.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
684
Denominator
914
Facility rate
74.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,069
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.434
Comparative performance category
Better than the National Benchmark
Patient days
16,145
Predicted number of infections (B)
6.903
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
211
Number of health care workers
305
Rate of flu vaccination
69.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
91
Number of eligible stays
1,081
Unadjusted potentially preventable readmission rate
8.42
Risk-standardized potentially preventable readmission rate (RSRR)
7.57
Lower limit of the 95% confidence interval on the RSRR
6.50
Upper limit of the 95% confidence interval on the RSRR
8.76
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
70
Number of eligible stays
1,221
Unadjusted potentially preventable readmission rate
5.73
Risk-standardized potentially preventable readmission rate (RSRR)
4.80
Lower limit of the 95% confidence interval on the RSRR
4.03
Upper limit of the 95% confidence interval on the RSRR
5.77
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)
604
Number of eligible stays
888
Observed discharge to community rate
68.02
Risk-standardized discharge to community rate
72.31
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.15
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.16
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.03
Number of eligible episodes
1,142
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,067
Denominator
1,069
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
1,069
Facility observed rate
0.5
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
180
Number of health care workers
221
Rate of COVID-19 vaccination
81.4