Wellstar Kennestone Inpatient Rehab


About the Facility

CMS Certification Number (CCN)
11T035
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
677 Church Street
Phone Number
(770) 793-6696

Facility Medical Condition Statistics

All other conditions
15
Brain disease or condition (non-traumatic)
26
Brain injury (traumatic)
21
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
31
Nervous system disorder (excluding stroke)
21
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
-
Stroke
138

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
208
Predicted number of infections (B)
0.472
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
274
Denominator
274
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.4
Denominator
237
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
32.3
Denominator
237
Average observed change score
30.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
161
Denominator
237
Facility rate
67.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
147
Denominator
237
Facility rate
62.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
274
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.156
SIR 95% confidence interval - upper limit
3.078
Comparative performance category
No Different than the National Benchmark
Patient days
5,997
Predicted number of infections (B)
2.147
Number of infections reported (A)
2
SIR (A/B)
0.932
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
50
Number of health care workers
58
Rate of flu vaccination
86.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
294
Unadjusted potentially preventable readmission rate
6.46
Risk-standardized potentially preventable readmission rate (RSRR)
8.31
Lower limit of the 95% confidence interval on the RSRR
6.65
Upper limit of the 95% confidence interval on the RSRR
10.53
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
330
Unadjusted potentially preventable readmission rate
4.55
Risk-standardized potentially preventable readmission rate (RSRR)
4.69
Lower limit of the 95% confidence interval on the RSRR
3.49
Upper limit of the 95% confidence interval on the RSRR
6.77
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)
193
Number of eligible stays
268
Observed discharge to community rate
72.01
Risk-standardized discharge to community rate
73.03
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.55
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.70
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
283
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
274
Denominator
274
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
274
Facility observed rate
1.5
Facility risk-adjusted rate
1.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
49
Number of health care workers
49
Rate of COVID-19 vaccination
100.0