About the Facility
- CMS Certification Number (CCN)
- 11T006
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1230 Baxter Street
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 83
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 60
- Hip or knee replacement, amputation or other bone or joint condition
- 68
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- 11
- Stroke
- 72
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
- 1.917
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 636
- Predicted number of infections (B)
- 1.563
- 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
- 361
- Denominator
- 362
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 330
- Average observed change score
- 14.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.8
- Denominator
- 330
- Average observed change score
- 42.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 214
- Denominator
- 330
- Facility rate
- 64.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 259
- Denominator
- 330
- Facility rate
- 78.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 362
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.180
- SIR 95% confidence interval - upper limit
- 3.545
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,356
- Predicted number of infections (B)
- 1.864
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.073
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 0
- Number of health care workers
- 53
- Rate of flu vaccination
- 0.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 33
- Number of eligible stays
- 448
- Unadjusted potentially preventable readmission rate
- 7.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 7.30
- Upper limit of the 95% confidence interval on the RSRR
- 11.00
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 468
- Unadjusted potentially preventable readmission rate
- 0.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 2.84
- Lower limit of the 95% confidence interval on the RSRR
- 1.91
- Upper limit of the 95% confidence interval on the RSRR
- 4.05
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 290
- Number of eligible stays
- 386
- Observed discharge to community rate
- 75.13
- Risk-standardized discharge to community rate
- 72.45
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.94
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 437
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 179
- Denominator
- 362
- Facility rate
- 49.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 362
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 42
- Number of health care workers
- 50
- Rate of COVID-19 vaccination
- 84.0