Dlp Frye Regional Medical Center


About the Facility

CMS Certification Number (CCN)
34T116
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
420 N Center St
Rehab Services
Phone Number
(828) 315-3602

Facility Medical Condition Statistics

All other conditions
66
Brain disease or condition (non-traumatic)
25
Brain injury (traumatic)
11
Hip or femur fracture
20
Hip or knee replacement, amputation or other bone or joint condition
16
Nervous system disorder (excluding stroke)
34
Spinal cord disease or condition (non-traumatic)
18
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
60

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
308
Predicted number of infections (B)
0.839
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
242
Denominator
243
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
15.2
Denominator
211
Average observed change score
16.2
Change in patients ability to move around
Average risk-adjusted change score
31.2
Denominator
211
Average observed change score
33.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
178
Denominator
211
Facility rate
84.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
120
Denominator
211
Facility rate
56.9
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
0.028
SIR 95% confidence interval - upper limit
2.750
Comparative performance category
No Different than the National Benchmark
Patient days
3,475
Predicted number of infections (B)
1.793
Number of infections reported (A)
1
SIR (A/B)
0.558
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
100
Number of health care workers
554
Rate of flu vaccination
18.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
6
Number of eligible stays
128
Unadjusted potentially preventable readmission rate
4.69
Risk-standardized potentially preventable readmission rate (RSRR)
8.16
Lower limit of the 95% confidence interval on the RSRR
6.35
Upper limit of the 95% confidence interval on the RSRR
10.64
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
148
Unadjusted potentially preventable readmission rate
6.76
Risk-standardized potentially preventable readmission rate (RSRR)
5.60
Lower limit of the 95% confidence interval on the RSRR
3.68
Upper limit of the 95% confidence interval on the RSRR
8.00
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)
89
Number of eligible stays
126
Observed discharge to community rate
70.63
Risk-standardized discharge to community rate
68.55
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.86
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.02
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
133
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
238
Denominator
243
Facility rate
97.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
242
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
904
Number of health care workers
1,215
Rate of COVID-19 vaccination
74.4