About the Facility
- CMS Certification Number (CCN)
- 11T054
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
304 Turner Mccall Blvd
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 94
- Hip or knee replacement, amputation or other bone or joint condition
- 78
- Nervous system disorder (excluding stroke)
- 35
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 58
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
- 441
- Predicted number of infections (B)
- 0.695
- 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
- 402
- Denominator
- 402
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 359
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.8
- Denominator
- 359
- Average observed change score
- 30.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 191
- Denominator
- 359
- Facility rate
- 53.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 156
- Denominator
- 359
- Facility rate
- 43.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 402
- Facility rate
- 0.7
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.353
- SIR 95% confidence interval - upper limit
- 3.782
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,013
- Predicted number of infections (B)
- 2.159
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.390
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 84
- Number of health care workers
- 141
- Rate of flu vaccination
- 59.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 36
- Number of eligible stays
- 449
- Unadjusted potentially preventable readmission rate
- 8.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.95
- Lower limit of the 95% confidence interval on the RSRR
- 7.31
- Upper limit of the 95% confidence interval on the RSRR
- 10.81
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 521
- Unadjusted potentially preventable readmission rate
- 5.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.60
- Lower limit of the 95% confidence interval on the RSRR
- 4.39
- Upper limit of the 95% confidence interval on the RSRR
- 7.45
- 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)
- 280
- Number of eligible stays
- 421
- Observed discharge to community rate
- 66.51
- Risk-standardized discharge to community rate
- 65.26
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.29
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.26
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 463
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 392
- Denominator
- 402
- Facility rate
- 97.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 400
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 108
- Number of health care workers
- 118
- Rate of COVID-19 vaccination
- 91.5