St. Vincents East Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
01T011
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
50 Medical Park East Drive
Phone Number
(205) 838-3672

Facility Medical Condition Statistics

All other conditions
42
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
37
Hip or knee replacement, amputation or other bone or joint condition
23
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
29

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
Not Available
Comparative performance category
Not Available
Catheter days
272
Predicted number of infections (B)
0.518
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
148
Denominator
148
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.0
Denominator
128
Average observed change score
9.0
Change in patients ability to move around
Average risk-adjusted change score
27.5
Denominator
128
Average observed change score
31.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
53
Denominator
128
Facility rate
41.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
62
Denominator
128
Facility rate
48.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
148
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.043
SIR 95% confidence interval - upper limit
4.206
Comparative performance category
No Different than the National Benchmark
Patient days
2,986
Predicted number of infections (B)
1.172
Number of infections reported (A)
1
SIR (A/B)
0.853
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
17
Number of health care workers
19
Rate of flu vaccination
89.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
9
Number of eligible stays
95
Unadjusted potentially preventable readmission rate
9.47
Risk-standardized potentially preventable readmission rate (RSRR)
9.08
Lower limit of the 95% confidence interval on the RSRR
6.91
Upper limit of the 95% confidence interval on the RSRR
11.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
103
Unadjusted potentially preventable readmission rate
0.97
Risk-standardized potentially preventable readmission rate (RSRR)
4.26
Lower limit of the 95% confidence interval on the RSRR
2.72
Upper limit of the 95% confidence interval on the RSRR
6.60
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)
61
Number of eligible stays
79
Observed discharge to community rate
77.22
Risk-standardized discharge to community rate
69.67
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.97
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.19
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
87
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
140
Denominator
148
Facility rate
94.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
148
Facility observed rate
0.7
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
15
Number of health care workers
15
Rate of COVID-19 vaccination
100.0