About the Facility
- CMS Certification Number (CCN)
- 18T038
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
Regional Rehab Center
1201 Pleasant Valley Rd
- Phone Number
- (270) 417-2910
Facility Medical Condition Statistics
- All other conditions
- 71
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 47
- Nervous system disorder (excluding stroke)
- 30
- 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
- 79
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
- 215
- Predicted number of infections (B)
- 0.409
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 282
- Denominator
- 282
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 258
- Average observed change score
- 10.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.0
- Denominator
- 258
- Average observed change score
- 30.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 133
- Denominator
- 258
- Facility rate
- 51.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 167
- Denominator
- 258
- Facility rate
- 64.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 282
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.881
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,879
- Predicted number of infections (B)
- 1.593
- 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
- 851
- Number of health care workers
- 1,386
- Rate of flu vaccination
- 61.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 312
- Unadjusted potentially preventable readmission rate
- 5.77
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.08
- Lower limit of the 95% confidence interval on the RSRR
- 6.35
- Upper limit of the 95% confidence interval on the RSRR
- 10.16
- 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
- 334
- Unadjusted potentially preventable readmission rate
- 3.59
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.72
- Lower limit of the 95% confidence interval on the RSRR
- 3.48
- Upper limit of the 95% confidence interval on the RSRR
- 6.48
- 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)
- 189
- Number of eligible stays
- 255
- Observed discharge to community rate
- 74.12
- Risk-standardized discharge to community rate
- 70.85
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.78
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.00
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 294
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 280
- Denominator
- 282
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 280
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 875
- Number of health care workers
- 1,081
- Rate of COVID-19 vaccination
- 80.9