Wellstar Roosevelt Rehab Care at Warm Springs


About the Facility

CMS Certification Number (CCN)
113028
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
6135 Roosevelt Highway, P O Box 280
Phone Number
(706) 655-5515

Facility Medical Condition Statistics

All other conditions
59
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
25
Hip or knee replacement, amputation or other bone or joint condition
25
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
27

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
216
Predicted number of infections (B)
0.334
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
150
Denominator
151
Facility rate
99.3
Change in patients ability to care for themselves
Average risk-adjusted change score
10.1
Denominator
127
Average observed change score
10.6
Change in patients ability to move around
Average risk-adjusted change score
25.0
Denominator
127
Average observed change score
26.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
49
Denominator
127
Facility rate
38.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
53
Denominator
127
Facility rate
41.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
151
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.031
SIR 95% confidence interval - upper limit
3.027
Comparative performance category
No Different than the National Benchmark
Patient days
5,138
Predicted number of infections (B)
1.629
Number of infections reported (A)
1
SIR (A/B)
0.614
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
124
Number of health care workers
132
Rate of flu vaccination
93.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
15
Number of eligible stays
207
Unadjusted potentially preventable readmission rate
7.25
Risk-standardized potentially preventable readmission rate (RSRR)
8.29
Lower limit of the 95% confidence interval on the RSRR
6.48
Upper limit of the 95% confidence interval on the RSRR
10.55
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
226
Unadjusted potentially preventable readmission rate
4.42
Risk-standardized potentially preventable readmission rate (RSRR)
4.80
Lower limit of the 95% confidence interval on the RSRR
3.49
Upper limit of the 95% confidence interval on the RSRR
6.91
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)
122
Number of eligible stays
181
Observed discharge to community rate
67.40
Risk-standardized discharge to community rate
67.07
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.98
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.90
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
213
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
148
Denominator
151
Facility rate
98.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
151
Facility observed rate
4.6
Facility risk-adjusted rate
4.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
163
Number of health care workers
189
Rate of COVID-19 vaccination
86.2