Encompass Health Rehabilitation Hospital of North


About the Facility

CMS Certification Number (CCN)
103047
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
3840 Atmore Grove Dr
Lutz, Florida 33548
Phone Number
(813) 607-3600

Facility Medical Condition Statistics

All other conditions
376
Brain disease or condition (non-traumatic)
115
Brain injury (traumatic)
32
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
170
Nervous system disorder (excluding stroke)
155
Spinal cord disease or condition (non-traumatic)
63
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
145

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.410
SIR 95% confidence interval - upper limit
4.387
Comparative performance category
No Different than the National Benchmark
Catheter days
1,202
Predicted number of infections (B)
1.861
Number of infections reported (A)
3
SIR (A/B)
1.612
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,013
Denominator
1,013
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
835
Average observed change score
14.2
Change in patients ability to move around
Average risk-adjusted change score
36.2
Denominator
835
Average observed change score
34.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
581
Denominator
835
Facility rate
69.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
584
Denominator
835
Facility rate
69.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,013
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
0.523
Comparative performance category
Better than the National Benchmark
Patient days
16,449
Predicted number of infections (B)
5.732
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
256
Number of health care workers
358
Rate of flu vaccination
71.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
89
Number of eligible stays
771
Unadjusted potentially preventable readmission rate
11.54
Risk-standardized potentially preventable readmission rate (RSRR)
9.61
Lower limit of the 95% confidence interval on the RSRR
8.18
Upper limit of the 95% confidence interval on the RSRR
11.27
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
47
Number of eligible stays
865
Unadjusted potentially preventable readmission rate
5.43
Risk-standardized potentially preventable readmission rate (RSRR)
4.92
Lower limit of the 95% confidence interval on the RSRR
3.97
Upper limit of the 95% confidence interval on the RSRR
6.32
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)
536
Number of eligible stays
796
Observed discharge to community rate
67.34
Risk-standardized discharge to community rate
71.89
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.52
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.28
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
827
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
995
Denominator
1,013
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
1,012
Facility observed rate
1.1
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
298
Number of health care workers
344
Rate of COVID-19 vaccination
86.6