About the Facility
- CMS Certification Number (CCN)
- 18T130
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
4000 Kresge Way
- Phone Number
- (502) 896-7467
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 92
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
- 280
- Predicted number of infections (B)
- 0.763
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 257
- Denominator
- 264
- Facility rate
- 97.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.6
- Denominator
- 221
- Average observed change score
- 8.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 21.1
- Denominator
- 221
- Average observed change score
- 22.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 64
- Denominator
- 221
- Facility rate
- 29.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 49
- Denominator
- 221
- Facility rate
- 22.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 264
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.831
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,577
- Predicted number of infections (B)
- 2.694
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.371
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 63
- Number of health care workers
- 68
- Rate of flu vaccination
- 92.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 270
- Unadjusted potentially preventable readmission rate
- 5.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.04
- Lower limit of the 95% confidence interval on the RSRR
- 6.18
- Upper limit of the 95% confidence interval on the RSRR
- 10.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 292
- Unadjusted potentially preventable readmission rate
- 3.77
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.66
- Lower limit of the 95% confidence interval on the RSRR
- 3.36
- Upper limit of the 95% confidence interval on the RSRR
- 7.06
- 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)
- 192
- Number of eligible stays
- 250
- Observed discharge to community rate
- 76.80
- Risk-standardized discharge to community rate
- 72.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.78
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 250
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 264
- Denominator
- 264
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 264
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,089
- Number of health care workers
- 1,111
- Rate of COVID-19 vaccination
- 98.0