Fairview Park Hospital


About the Facility

CMS Certification Number (CCN)
11T125
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
200 Industrial Blvd
Phone Number
(478) 274-3264

Facility Medical Condition Statistics

All other conditions
83
Brain disease or condition (non-traumatic)
20
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
41
Hip or knee replacement, amputation or other bone or joint condition
20
Nervous system disorder (excluding stroke)
15
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
65

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
309
Predicted number of infections (B)
0.587
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
247
Denominator
247
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
224
Average observed change score
15.2
Change in patients ability to move around
Average risk-adjusted change score
35.4
Denominator
224
Average observed change score
36.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
156
Denominator
224
Facility rate
69.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
162
Denominator
224
Facility rate
72.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
247
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
2.104
Comparative performance category
No Different than the National Benchmark
Patient days
4,362
Predicted number of infections (B)
1.424
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
21
Number of health care workers
28
Rate of flu vaccination
75.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
20
Number of eligible stays
249
Unadjusted potentially preventable readmission rate
8.03
Risk-standardized potentially preventable readmission rate (RSRR)
8.46
Lower limit of the 95% confidence interval on the RSRR
6.73
Upper limit of the 95% confidence interval on the RSRR
10.59
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
272
Unadjusted potentially preventable readmission rate
4.41
Risk-standardized potentially preventable readmission rate (RSRR)
4.58
Lower limit of the 95% confidence interval on the RSRR
3.17
Upper limit of the 95% confidence interval on the RSRR
6.26
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)
159
Number of eligible stays
215
Observed discharge to community rate
73.95
Risk-standardized discharge to community rate
74.30
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.67
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.29
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
226
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
247
Denominator
247
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
246
Facility observed rate
2.0
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
26
Number of health care workers
29
Rate of COVID-19 vaccination
89.7