Grandview Medical Center


About the Facility

CMS Certification Number (CCN)
01T104
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
3690 Grandview Parkway
Phone Number
(205) 971-4520

Facility Medical Condition Statistics

All other conditions
102
Brain disease or condition (non-traumatic)
24
Brain injury (traumatic)
15
Hip or femur fracture
73
Hip or knee replacement, amputation or other bone or joint condition
68
Nervous system disorder (excluding stroke)
14
Spinal cord disease or condition (non-traumatic)
23
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
62

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
241
Predicted number of infections (B)
0.625
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
373
Denominator
373
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.1
Denominator
317
Average observed change score
14.7
Change in patients ability to move around
Average risk-adjusted change score
37.4
Denominator
317
Average observed change score
37.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
224
Denominator
317
Facility rate
70.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
243
Denominator
317
Facility rate
76.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
373
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.019
SIR 95% confidence interval - upper limit
1.844
Comparative performance category
No Different than the National Benchmark
Patient days
5,189
Predicted number of infections (B)
2.674
Number of infections reported (A)
1
SIR (A/B)
0.374
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
19
Number of health care workers
35
Rate of flu vaccination
54.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
28
Number of eligible stays
350
Unadjusted potentially preventable readmission rate
8.00
Risk-standardized potentially preventable readmission rate (RSRR)
8.56
Lower limit of the 95% confidence interval on the RSRR
6.79
Upper limit of the 95% confidence interval on the RSRR
10.53
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
381
Unadjusted potentially preventable readmission rate
3.94
Risk-standardized potentially preventable readmission rate (RSRR)
4.65
Lower limit of the 95% confidence interval on the RSRR
3.29
Upper limit of the 95% confidence interval on the RSRR
6.12
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)
231
Number of eligible stays
309
Observed discharge to community rate
74.76
Risk-standardized discharge to community rate
71.49
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.12
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.56
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
324
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
369
Denominator
373
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
14
Denominator
371
Facility observed rate
3.8
Facility risk-adjusted rate
3.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
31
Number of health care workers
36
Rate of COVID-19 vaccination
86.1