About the Facility
- CMS Certification Number (CCN)
- 183027
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
201 Medical Village Drive
- Phone Number
- (859) 341-2044
Facility Medical Condition Statistics
- All other conditions
- 77
- Brain disease or condition (non-traumatic)
- 45
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 46
- Hip or knee replacement, amputation or other bone or joint condition
- 136
- Nervous system disorder (excluding stroke)
- 623
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 243
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
- 2.310
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,201
- Predicted number of infections (B)
- 1.297
- 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
- 1,207
- Denominator
- 1,207
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.9
- Denominator
- 1,054
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.4
- Denominator
- 1,054
- Average observed change score
- 34.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 796
- Denominator
- 1,054
- Facility rate
- 75.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 709
- Denominator
- 1,054
- Facility rate
- 67.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,207
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.289
- SIR 95% confidence interval - upper limit
- 1.481
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,702
- Predicted number of infections (B)
- 8.424
- Number of infections reported (A)
- 6
- SIR (A/B)
- 0.712
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 341
- Number of health care workers
- 363
- Rate of flu vaccination
- 93.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 143
- Number of eligible stays
- 1,097
- Unadjusted potentially preventable readmission rate
- 13.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.48
- Lower limit of the 95% confidence interval on the RSRR
- 8.41
- Upper limit of the 95% confidence interval on the RSRR
- 10.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 67
- Number of eligible stays
- 1,205
- Unadjusted potentially preventable readmission rate
- 5.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.96
- Lower limit of the 95% confidence interval on the RSRR
- 4.14
- Upper limit of the 95% confidence interval on the RSRR
- 6.04
- 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)
- 608
- Number of eligible stays
- 975
- Observed discharge to community rate
- 62.36
- Risk-standardized discharge to community rate
- 66.08
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.88
- 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
- 1,131
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,188
- Denominator
- 1,207
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 1,205
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 322
- Number of health care workers
- 360
- Rate of COVID-19 vaccination
- 89.4