Cardinal Hill Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
183026
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
2050 Versailles Road
Phone Number
(859) 254-5701

Facility Medical Condition Statistics

All other conditions
621
Brain disease or condition (non-traumatic)
167
Brain injury (traumatic)
100
Hip or femur fracture
199
Hip or knee replacement, amputation or other bone or joint condition
468
Nervous system disorder (excluding stroke)
150
Spinal cord disease or condition (non-traumatic)
112
Spinal cord injury (traumatic)
25
Stroke
496

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
0.533
Comparative performance category
Better than the National Benchmark
Catheter days
3,091
Predicted number of infections (B)
5.624
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
2,275
Denominator
2,277
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
1,925
Average observed change score
13.0
Change in patients ability to move around
Average risk-adjusted change score
32.5
Denominator
1,926
Average observed change score
31.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,240
Denominator
1,926
Facility rate
64.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,257
Denominator
1,926
Facility rate
65.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
7
Denominator
2,277
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.415
SIR 95% confidence interval - upper limit
0.982
Comparative performance category
Better than the National Benchmark
Patient days
46,002
Predicted number of infections (B)
32.134
Number of infections reported (A)
21
SIR (A/B)
0.654
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
782
Number of health care workers
822
Rate of flu vaccination
95.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
234
Number of eligible stays
2,279
Unadjusted potentially preventable readmission rate
10.27
Risk-standardized potentially preventable readmission rate (RSRR)
10.00
Lower limit of the 95% confidence interval on the RSRR
8.91
Upper limit of the 95% confidence interval on the RSRR
11.16
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
134
Number of eligible stays
2,523
Unadjusted potentially preventable readmission rate
5.31
Risk-standardized potentially preventable readmission rate (RSRR)
5.26
Lower limit of the 95% confidence interval on the RSRR
4.54
Upper limit of the 95% confidence interval on the RSRR
6.14
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)
1,364
Number of eligible stays
2,048
Observed discharge to community rate
66.60
Risk-standardized discharge to community rate
66.87
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.83
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.75
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
2,339
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
2,250
Denominator
2,277
Facility rate
98.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
14
Denominator
2,274
Facility observed rate
0.6
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
741
Number of health care workers
831
Rate of COVID-19 vaccination
89.2