About the Facility
- CMS Certification Number (CCN)
- 25T040
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2809 Denny Avene
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 64
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 39
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 62
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
- 270
- Predicted number of infections (B)
- 0.439
- 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
- 243
- Denominator
- 243
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.9
- Denominator
- 221
- Average observed change score
- 15.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 41.0
- Denominator
- 221
- Average observed change score
- 41.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 158
- Denominator
- 221
- Facility rate
- 71.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 186
- Denominator
- 221
- Facility rate
- 84.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 243
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.244
- SIR 95% confidence interval - upper limit
- 4.799
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,794
- Predicted number of infections (B)
- 1.377
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.453
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 19
- Number of health care workers
- 35
- Rate of flu vaccination
- 54.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 45
- Number of eligible stays
- 420
- Unadjusted potentially preventable readmission rate
- 10.71
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.00
- Lower limit of the 95% confidence interval on the RSRR
- 7.40
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 463
- Unadjusted potentially preventable readmission rate
- 4.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.38
- Lower limit of the 95% confidence interval on the RSRR
- 3.10
- Upper limit of the 95% confidence interval on the RSRR
- 5.55
- 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)
- 254
- Number of eligible stays
- 375
- Observed discharge to community rate
- 67.73
- Risk-standardized discharge to community rate
- 71.06
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.51
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 399
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 241
- Denominator
- 243
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 243
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 18
- Number of health care workers
- 22
- Rate of COVID-19 vaccination
- 81.8