Encompass Health Rehabilitation Hospital of Lakevi


About the Facility

CMS Certification Number (CCN)
183028
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
134 Heartland Drive
Phone Number
(270) 769-3100

Facility Medical Condition Statistics

All other conditions
200
Brain disease or condition (non-traumatic)
67
Brain injury (traumatic)
28
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
131
Nervous system disorder (excluding stroke)
57
Spinal cord disease or condition (non-traumatic)
11
Spinal cord injury (traumatic)
-
Stroke
105

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
777
Predicted number of infections (B)
0.937
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
628
Denominator
628
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
545
Average observed change score
13.0
Change in patients ability to move around
Average risk-adjusted change score
31.9
Denominator
545
Average observed change score
30.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
371
Denominator
545
Facility rate
68.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
347
Denominator
545
Facility rate
63.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
628
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.099
SIR 95% confidence interval - upper limit
1.942
Comparative performance category
No Different than the National Benchmark
Patient days
8,931
Predicted number of infections (B)
3.402
Number of infections reported (A)
2
SIR (A/B)
0.588
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
169
Number of health care workers
206
Rate of flu vaccination
82.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
90
Number of eligible stays
692
Unadjusted potentially preventable readmission rate
13.01
Risk-standardized potentially preventable readmission rate (RSRR)
10.96
Lower limit of the 95% confidence interval on the RSRR
9.22
Upper limit of the 95% confidence interval on the RSRR
12.96
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
41
Number of eligible stays
770
Unadjusted potentially preventable readmission rate
5.32
Risk-standardized potentially preventable readmission rate (RSRR)
5.41
Lower limit of the 95% confidence interval on the RSRR
4.33
Upper limit of the 95% confidence interval on the RSRR
6.81
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)
425
Number of eligible stays
638
Observed discharge to community rate
66.61
Risk-standardized discharge to community rate
66.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.72
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.45
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
711
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
628
Denominator
628
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
627
Facility observed rate
1.1
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
151
Number of health care workers
172
Rate of COVID-19 vaccination
87.8