About the Facility
- CMS Certification Number (CCN)
- 44T151
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1559 Sparta Rd
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 46
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 31
- Hip or knee replacement, amputation or other bone or joint condition
- 46
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 37
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
- 69
- Predicted number of infections (B)
- 0.099
- 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
- 208
- Denominator
- 208
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 188
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.2
- Denominator
- 188
- Average observed change score
- 39.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 148
- Denominator
- 188
- Facility rate
- 78.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 148
- Denominator
- 188
- Facility rate
- 78.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 208
- 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
- 2,514
- Predicted number of infections (B)
- 0.817
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 505
- Number of health care workers
- 638
- Rate of flu vaccination
- 79.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 215
- Unadjusted potentially preventable readmission rate
- 6.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.44
- Lower limit of the 95% confidence interval on the RSRR
- 6.54
- Upper limit of the 95% confidence interval on the RSRR
- 10.79
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 229
- Unadjusted potentially preventable readmission rate
- 2.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.56
- Lower limit of the 95% confidence interval on the RSRR
- 3.28
- Upper limit of the 95% confidence interval on the RSRR
- 7.39
- 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)
- 150
- Number of eligible stays
- 190
- Observed discharge to community rate
- 78.95
- Risk-standardized discharge to community rate
- 69.65
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.32
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.84
- Number of eligible episodes
- 227
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 206
- Denominator
- 208
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 207
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 15
- Number of health care workers
- 17
- Rate of COVID-19 vaccination
- 88.2