Walton Rehab Hospital, Affiliate of Encompass Hlth


About the Facility

CMS Certification Number (CCN)
113030
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1355 Independence Drive
Phone Number
(706) 724-7746

Facility Medical Condition Statistics

All other conditions
456
Brain disease or condition (non-traumatic)
69
Brain injury (traumatic)
34
Hip or femur fracture
132
Hip or knee replacement, amputation or other bone or joint condition
266
Nervous system disorder (excluding stroke)
418
Spinal cord disease or condition (non-traumatic)
27
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
243

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.209
SIR 95% confidence interval - upper limit
4.112
Comparative performance category
No Different than the National Benchmark
Catheter days
1,488
Predicted number of infections (B)
1.607
Number of infections reported (A)
2
SIR (A/B)
1.245
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,624
Denominator
1,624
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.1
Denominator
1,427
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
34.6
Denominator
1,427
Average observed change score
34.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
999
Denominator
1,427
Facility rate
70.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,022
Denominator
1,427
Facility rate
71.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
1,624
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.005
SIR 95% confidence interval - upper limit
0.526
Comparative performance category
Better than the National Benchmark
Patient days
21,926
Predicted number of infections (B)
9.375
Number of infections reported (A)
1
SIR (A/B)
0.107
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
350
Number of health care workers
383
Rate of flu vaccination
91.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
195
Number of eligible stays
1,857
Unadjusted potentially preventable readmission rate
10.50
Risk-standardized potentially preventable readmission rate (RSRR)
9.30
Lower limit of the 95% confidence interval on the RSRR
8.27
Upper limit of the 95% confidence interval on the RSRR
10.48
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
98
Number of eligible stays
2,036
Unadjusted potentially preventable readmission rate
4.81
Risk-standardized potentially preventable readmission rate (RSRR)
4.77
Lower limit of the 95% confidence interval on the RSRR
3.90
Upper limit of the 95% confidence interval on the RSRR
5.76
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)
1,112
Number of eligible stays
1,645
Observed discharge to community rate
67.60
Risk-standardized discharge to community rate
69.46
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.21
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.50
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
2,068
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,613
Denominator
1,624
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
1,621
Facility observed rate
0.5
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
316
Number of health care workers
344
Rate of COVID-19 vaccination
91.9