Encompass Health Rehabilitation Hospital of Pensac


About the Facility

CMS Certification Number (CCN)
103048
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1101 Office Woods Dr
Phone Number
(850) 805-2000

Facility Medical Condition Statistics

All other conditions
124
Brain disease or condition (non-traumatic)
68
Brain injury (traumatic)
24
Hip or femur fracture
105
Hip or knee replacement, amputation or other bone or joint condition
196
Nervous system disorder (excluding stroke)
191
Spinal cord disease or condition (non-traumatic)
18
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
132

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.271
SIR 95% confidence interval - upper limit
5.346
Comparative performance category
No Different than the National Benchmark
Catheter days
989
Predicted number of infections (B)
1.236
Number of infections reported (A)
2
SIR (A/B)
1.618
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
833
Denominator
834
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
15.1
Denominator
738
Average observed change score
17.0
Change in patients ability to move around
Average risk-adjusted change score
38.2
Denominator
738
Average observed change score
40.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
606
Denominator
738
Facility rate
82.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
621
Denominator
738
Facility rate
84.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
834
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.391
SIR 95% confidence interval - upper limit
2.367
Comparative performance category
No Different than the National Benchmark
Patient days
11,104
Predicted number of infections (B)
4.683
Number of infections reported (A)
5
SIR (A/B)
1.068
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
168
Number of health care workers
219
Rate of flu vaccination
76.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
46
Number of eligible stays
411
Unadjusted potentially preventable readmission rate
11.19
Risk-standardized potentially preventable readmission rate (RSRR)
9.84
Lower limit of the 95% confidence interval on the RSRR
8.05
Upper limit of the 95% confidence interval on the RSRR
11.97
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
32
Number of eligible stays
456
Unadjusted potentially preventable readmission rate
7.02
Risk-standardized potentially preventable readmission rate (RSRR)
6.42
Lower limit of the 95% confidence interval on the RSRR
4.80
Upper limit of the 95% confidence interval on the RSRR
8.35
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)
288
Number of eligible stays
427
Observed discharge to community rate
67.45
Risk-standardized discharge to community rate
68.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.76
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.05
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
463
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
827
Denominator
834
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
833
Facility observed rate
1.0
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
181
Number of health care workers
211
Rate of COVID-19 vaccination
85.8