Dch Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
01T092
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
809 University Blvd, East
Phone Number
(205) 333-4362

Facility Medical Condition Statistics

All other conditions
137
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
17
Hip or femur fracture
37
Hip or knee replacement, amputation or other bone or joint condition
60
Nervous system disorder (excluding stroke)
34
Spinal cord disease or condition (non-traumatic)
28
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
143

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.020
SIR 95% confidence interval - upper limit
1.983
Comparative performance category
No Different than the National Benchmark
Catheter days
914
Predicted number of infections (B)
2.487
Number of infections reported (A)
1
SIR (A/B)
0.402
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
459
Denominator
463
Facility rate
99.1
Change in patients ability to care for themselves
Average risk-adjusted change score
11.5
Denominator
396
Average observed change score
11.0
Change in patients ability to move around
Average risk-adjusted change score
27.8
Denominator
396
Average observed change score
27.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
213
Denominator
396
Facility rate
53.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
201
Denominator
396
Facility rate
50.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
463
Facility rate
0.6
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.350
SIR 95% confidence interval - upper limit
2.117
Comparative performance category
No Different than the National Benchmark
Patient days
10,144
Predicted number of infections (B)
5.234
Number of infections reported (A)
5
SIR (A/B)
0.955
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
104
Number of health care workers
111
Rate of flu vaccination
93.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
44
Number of eligible stays
427
Unadjusted potentially preventable readmission rate
10.30
Risk-standardized potentially preventable readmission rate (RSRR)
9.27
Lower limit of the 95% confidence interval on the RSRR
7.55
Upper limit of the 95% confidence interval on the RSRR
11.45
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
461
Unadjusted potentially preventable readmission rate
2.60
Risk-standardized potentially preventable readmission rate (RSRR)
3.59
Lower limit of the 95% confidence interval on the RSRR
2.68
Upper limit of the 95% confidence interval on the RSRR
5.29
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)
210
Number of eligible stays
347
Observed discharge to community rate
60.52
Risk-standardized discharge to community rate
62.79
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.02
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.53
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
379
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
435
Denominator
463
Facility rate
94.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
463
Facility observed rate
1.1
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
111
Number of health care workers
121
Rate of COVID-19 vaccination
91.7