Encompass Health Rehab Hospital of Spring Hill


About the Facility

CMS Certification Number (CCN)
103042
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
12440 Cortez Blvd
Phone Number
(352) 835-4600

Facility Medical Condition Statistics

All other conditions
474
Brain disease or condition (non-traumatic)
182
Brain injury (traumatic)
56
Hip or femur fracture
174
Hip or knee replacement, amputation or other bone or joint condition
237
Nervous system disorder (excluding stroke)
150
Spinal cord disease or condition (non-traumatic)
48
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
250

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
1.334
Comparative performance category
No Different than the National Benchmark
Catheter days
2,080
Predicted number of infections (B)
2.246
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
1,510
Denominator
1,510
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
1,285
Average observed change score
13.8
Change in patients ability to move around
Average risk-adjusted change score
31.7
Denominator
1,285
Average observed change score
32.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
809
Denominator
1,285
Facility rate
63.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
758
Denominator
1,285
Facility rate
59.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
6
Denominator
1,510
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.478
SIR 95% confidence interval - upper limit
1.953
Comparative performance category
No Different than the National Benchmark
Patient days
22,504
Predicted number of infections (B)
7.779
Number of infections reported (A)
8
SIR (A/B)
1.028
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
295
Number of health care workers
360
Rate of flu vaccination
81.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
172
Number of eligible stays
1,509
Unadjusted potentially preventable readmission rate
11.40
Risk-standardized potentially preventable readmission rate (RSRR)
9.32
Lower limit of the 95% confidence interval on the RSRR
8.27
Upper limit of the 95% confidence interval on the RSRR
10.65
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
131
Number of eligible stays
1,731
Unadjusted potentially preventable readmission rate
7.57
Risk-standardized potentially preventable readmission rate (RSRR)
6.19
Lower limit of the 95% confidence interval on the RSRR
5.30
Upper limit of the 95% confidence interval on the RSRR
7.36
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
857
Number of eligible stays
1,356
Observed discharge to community rate
63.20
Risk-standardized discharge to community rate
69.25
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.70
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.88
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
1,651
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,504
Denominator
1,510
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
1,509
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
280
Number of health care workers
333
Rate of COVID-19 vaccination
84.1