Encompass Health Rehabilitation Hospital of Cola


About the Facility

CMS Certification Number (CCN)
423025
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
2935 Colonial Drive
Phone Number
(803) 254-7777

Facility Medical Condition Statistics

All other conditions
391
Brain disease or condition (non-traumatic)
207
Brain injury (traumatic)
45
Hip or femur fracture
144
Hip or knee replacement, amputation or other bone or joint condition
293
Nervous system disorder (excluding stroke)
226
Spinal cord disease or condition (non-traumatic)
63
Spinal cord injury (traumatic)
12
Stroke
320

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.039
SIR 95% confidence interval - upper limit
3.865
Comparative performance category
No Different than the National Benchmark
Catheter days
1,182
Predicted number of infections (B)
1.276
Number of infections reported (A)
1
SIR (A/B)
0.784
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,671
Denominator
1,671
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
1,495
Average observed change score
13.8
Change in patients ability to move around
Average risk-adjusted change score
32.8
Denominator
1,495
Average observed change score
33.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,106
Denominator
1,495
Facility rate
74.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
981
Denominator
1,495
Facility rate
65.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,671
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.041
SIR 95% confidence interval - upper limit
0.808
Comparative performance category
Better than the National Benchmark
Patient days
23,581
Predicted number of infections (B)
8.175
Number of infections reported (A)
2
SIR (A/B)
0.245
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
298
Number of health care workers
340
Rate of flu vaccination
87.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
118
Number of eligible stays
1,615
Unadjusted potentially preventable readmission rate
7.31
Risk-standardized potentially preventable readmission rate (RSRR)
7.71
Lower limit of the 95% confidence interval on the RSRR
6.71
Upper limit of the 95% confidence interval on the RSRR
8.88
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
87
Number of eligible stays
1,781
Unadjusted potentially preventable readmission rate
4.88
Risk-standardized potentially preventable readmission rate (RSRR)
5.21
Lower limit of the 95% confidence interval on the RSRR
4.37
Upper limit of the 95% confidence interval on the RSRR
6.14
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)
1,105
Number of eligible stays
1,494
Observed discharge to community rate
73.96
Risk-standardized discharge to community rate
73.53
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.58
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.55
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
1,821
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,662
Denominator
1,671
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
1,669
Facility observed rate
0.4
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
330
Number of health care workers
344
Rate of COVID-19 vaccination
95.9