Jw Sommer Rehabilitation Unit


About the Facility

CMS Certification Number (CCN)
01T157
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
201 Avalon Ave
Phone Number
(256) 386-1687

Facility Medical Condition Statistics

All other conditions
202
Brain disease or condition (non-traumatic)
42
Brain injury (traumatic)
17
Hip or femur fracture
97
Hip or knee replacement, amputation or other bone or joint condition
87
Nervous system disorder (excluding stroke)
107
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
60

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.165
SIR 95% confidence interval - upper limit
3.247
Comparative performance category
No Different than the National Benchmark
Catheter days
1,410
Predicted number of infections (B)
2.035
Number of infections reported (A)
2
SIR (A/B)
0.983
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
566
Denominator
566
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.8
Denominator
483
Average observed change score
12.0
Change in patients ability to move around
Average risk-adjusted change score
32.3
Denominator
483
Average observed change score
32.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
273
Denominator
483
Facility rate
56.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
315
Denominator
483
Facility rate
65.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
566
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.948
Comparative performance category
Better than the National Benchmark
Patient days
9,724
Predicted number of infections (B)
3.159
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
106
Number of health care workers
137
Rate of flu vaccination
77.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
77
Number of eligible stays
758
Unadjusted potentially preventable readmission rate
10.16
Risk-standardized potentially preventable readmission rate (RSRR)
9.43
Lower limit of the 95% confidence interval on the RSRR
7.93
Upper limit of the 95% confidence interval on the RSRR
11.13
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
37
Number of eligible stays
854
Unadjusted potentially preventable readmission rate
4.33
Risk-standardized potentially preventable readmission rate (RSRR)
4.60
Lower limit of the 95% confidence interval on the RSRR
3.66
Upper limit of the 95% confidence interval on the RSRR
6.11
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)
403
Number of eligible stays
671
Observed discharge to community rate
60.06
Risk-standardized discharge to community rate
61.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.90
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.53
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
765
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
557
Denominator
566
Facility rate
98.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
15
Denominator
565
Facility observed rate
2.7
Facility risk-adjusted rate
2.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
47
Number of health care workers
73
Rate of COVID-19 vaccination
64.4