Lake Cumberland Regional Hospital


About the Facility

CMS Certification Number (CCN)
18T132
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
305 Langdon Street
Phone Number
(606) 678-3311

Facility Medical Condition Statistics

All other conditions
93
Brain disease or condition (non-traumatic)
23
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
54
Hip or knee replacement, amputation or other bone or joint condition
40
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
51

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
146
Predicted number of infections (B)
0.210
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
288
Denominator
288
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.0
Denominator
253
Average observed change score
13.6
Change in patients ability to move around
Average risk-adjusted change score
28.3
Denominator
253
Average observed change score
33.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
138
Denominator
253
Facility rate
54.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
144
Denominator
253
Facility rate
56.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
288
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.198
SIR 95% confidence interval - upper limit
3.898
Comparative performance category
No Different than the National Benchmark
Patient days
3,897
Predicted number of infections (B)
1.695
Number of infections reported (A)
2
SIR (A/B)
1.180
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
30
Number of health care workers
50
Rate of flu vaccination
60.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
212
Unadjusted potentially preventable readmission rate
6.13
Risk-standardized potentially preventable readmission rate (RSRR)
7.98
Lower limit of the 95% confidence interval on the RSRR
6.19
Upper limit of the 95% confidence interval on the RSRR
9.97
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
4
Number of eligible stays
224
Unadjusted potentially preventable readmission rate
1.79
Risk-standardized potentially preventable readmission rate (RSRR)
3.78
Lower limit of the 95% confidence interval on the RSRR
2.68
Upper limit of the 95% confidence interval on the RSRR
5.98
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)
129
Number of eligible stays
202
Observed discharge to community rate
63.86
Risk-standardized discharge to community rate
64.89
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.17
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
200
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
276
Denominator
288
Facility rate
95.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
288
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
28
Rate of COVID-19 vaccination
82.1