Baptist Memorial Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
443034
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1240 S Germantown Road
Phone Number
(901) 757-1350

Facility Medical Condition Statistics

All other conditions
382
Brain disease or condition (non-traumatic)
79
Brain injury (traumatic)
53
Hip or femur fracture
228
Hip or knee replacement, amputation or other bone or joint condition
183
Nervous system disorder (excluding stroke)
94
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
231

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
2.802
Comparative performance category
No Different than the National Benchmark
Catheter days
991
Predicted number of infections (B)
1.069
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,206
Denominator
1,206
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.6
Denominator
1,069
Average observed change score
16.8
Change in patients ability to move around
Average risk-adjusted change score
36.4
Denominator
1,069
Average observed change score
39.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
917
Denominator
1,069
Facility rate
85.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
888
Denominator
1,069
Facility rate
83.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,206
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.135
SIR 95% confidence interval - upper limit
1.444
Comparative performance category
No Different than the National Benchmark
Patient days
17,428
Predicted number of infections (B)
5.653
Number of infections reported (A)
3
SIR (A/B)
0.531
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
318
Number of health care workers
337
Rate of flu vaccination
94.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
132
Number of eligible stays
1,730
Unadjusted potentially preventable readmission rate
7.63
Risk-standardized potentially preventable readmission rate (RSRR)
8.18
Lower limit of the 95% confidence interval on the RSRR
7.10
Upper limit of the 95% confidence interval on the RSRR
9.37
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
99
Number of eligible stays
1,906
Unadjusted potentially preventable readmission rate
5.19
Risk-standardized potentially preventable readmission rate (RSRR)
5.16
Lower limit of the 95% confidence interval on the RSRR
4.33
Upper limit of the 95% confidence interval on the RSRR
6.35
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)
1,102
Number of eligible stays
1,610
Observed discharge to community rate
68.45
Risk-standardized discharge to community rate
71.02
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.70
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.12
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
1,692
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,196
Denominator
1,206
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
26
Denominator
1,204
Facility observed rate
2.2
Facility risk-adjusted rate
1.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
274
Number of health care workers
291
Rate of COVID-19 vaccination
94.2