About the Facility
- CMS Certification Number (CCN)
- 183030
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
5940 Merchants Street
- Phone Number
- (859) 426-2400
Facility Medical Condition Statistics
- All other conditions
- 234
- Brain disease or condition (non-traumatic)
- 61
- Brain injury (traumatic)
- 31
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 97
- Nervous system disorder (excluding stroke)
- 198
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 175
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
- 2.616
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,059
- Predicted number of infections (B)
- 1.145
- 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
- 776
- Denominator
- 777
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 672
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.6
- Denominator
- 672
- Average observed change score
- 29.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 328
- Denominator
- 672
- Facility rate
- 48.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 322
- Denominator
- 672
- Facility rate
- 47.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 776
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.554
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 13,458
- Predicted number of infections (B)
- 5.407
- 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
- 184
- Number of health care workers
- 202
- Rate of flu vaccination
- 91.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 97
- Number of eligible stays
- 839
- Unadjusted potentially preventable readmission rate
- 11.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.93
- Lower limit of the 95% confidence interval on the RSRR
- 7.62
- Upper limit of the 95% confidence interval on the RSRR
- 10.36
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 65
- Number of eligible stays
- 946
- Unadjusted potentially preventable readmission rate
- 6.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.71
- Lower limit of the 95% confidence interval on the RSRR
- 4.46
- Upper limit of the 95% confidence interval on the RSRR
- 7.09
- 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)
- 401
- Number of eligible stays
- 739
- Observed discharge to community rate
- 54.26
- Risk-standardized discharge to community rate
- 59.15
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.64
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.66
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 832
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 697
- Denominator
- 777
- Facility rate
- 89.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 771
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 191
- Number of health care workers
- 191
- Rate of COVID-19 vaccination
- 100.0