Lenoir Memorial Hospital Rehab Unit


About the Facility

CMS Certification Number (CCN)
34T027
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
100 Airport Rd
Phone Number
(252) 522-7772

Facility Medical Condition Statistics

All other conditions
52
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
-
Hip or femur fracture
31
Hip or knee replacement, amputation or other bone or joint condition
17
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
63

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
135
Predicted number of infections (B)
0.257
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
168
Denominator
168
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.8
Denominator
155
Average observed change score
8.7
Change in patients ability to move around
Average risk-adjusted change score
21.7
Denominator
155
Average observed change score
21.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
47
Denominator
155
Facility rate
30.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
44
Denominator
155
Facility rate
28.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
168
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
2,484
Predicted number of infections (B)
0.941
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
53
Number of health care workers
55
Rate of flu vaccination
96.4
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
156
Unadjusted potentially preventable readmission rate
9.62
Risk-standardized potentially preventable readmission rate (RSRR)
9.00
Lower limit of the 95% confidence interval on the RSRR
6.98
Upper limit of the 95% confidence interval on the RSRR
11.41
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
166
Unadjusted potentially preventable readmission rate
2.41
Risk-standardized potentially preventable readmission rate (RSRR)
4.28
Lower limit of the 95% confidence interval on the RSRR
2.59
Upper limit of the 95% confidence interval on the RSRR
6.03
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)
91
Number of eligible stays
139
Observed discharge to community rate
65.47
Risk-standardized discharge to community rate
66.26
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.61
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.63
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
150
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
167
Denominator
168
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
168
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
258
Number of health care workers
272
Rate of COVID-19 vaccination
94.9