Inpatient Rehabilitation Facility

SUMNER REGIONAL MEDICAL CENTER

Address

P.o. Box 1558

-

Gallatin, TN 37066

Contact

(615) 328-5081

Certification Date

06/01/1994

Details

CMS Certification Number

44T003

Ownership Type

For profit

Conditions Data

Condition Count Footnote
All other conditions 57 -
Brain disease or condition (non-traumatic) Less than 11 1
Brain injury (traumatic) Less than 11 1
Hip or femur fracture 27 -
Hip or knee replacement, amputation or other bone or joint condition 29 -
Nervous system disorder (excluding stroke) Less than 11 1
Spinal cord disease or condition (non-traumatic) Less than 11 1
Spinal cord injury (traumatic) Not Available 2
Stroke 38 -

Quality Measures

Catheter-associated urinary tract infections (CAUTI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

Not Available

6,7

Other Measure

Not Available

6,7

Catheter-associated urinary tract infections (CAUTI) - Comparative performance category

Not Available

6,7

Catheter-associated urinary tract infections (CAUTI) - Catheter days

182

-

Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)

0.261

-

Catheter-associated urinary tract infections (CAUTI) - Number of infections reported (A)

0

-

Catheter-associated urinary tract infections (CAUTI)

Not Available

6,7

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Denominator

173

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator

173

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan

100.0

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Denominator

173

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Numerator

1

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay

0.6

-

Change in patients' ability to care for themselves

11.0

-

Change in patients' ability to care for themselves - Denominator

154

-

Change in patients' ability to care for themselves - Average observed change score

12.0

-

Change in patients' ability to move around

30.4

-

Change in patients' ability to move around - Denominator

154

-

Change in patients' ability to move around - Average observed change score

33.6

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

154

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

66

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge

42.9

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

154

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

90

-

Percentage of patients who are at or above an expected ability to move around at discharge

58.4

-

Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

Not Available

6,7

Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit

Not Available

6,7

Clostridium difficile Infection (CDI) - Comparative performance category

Not Available

6,7

Clostridium difficile Infection (CDI) - Patient days

2,299

-

Clostridium difficile Infection (CDI) - Predicted number of infections (B)

0.924

-

Clostridium difficile Infection (CDI) - Number of infections reported (A)

0

-

Clostridium difficile Infection (CDI)

Not Available

6,7

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers

18

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated

17

-

Percentage of healthcare personnel who got a flu shot for the current season

94.4

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Unadjusted potentially preventable readmission rate

14.74

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge

14

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF

9.98

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR

7.85

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR

13.04

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays

95

-

Rate of potentially preventable hospital readmissions during the IRF stay - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions during the IRF stay - Unadjusted potentially preventable readmission rate

5.71

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions

6

-

Rate of potentially preventable hospital readmissions during the IRF stay

5.30

-

Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR

3.73

-

Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR

7.86

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays

105

-

Rate of successful return to home or community from an IRF - Comparative performance category

Worse than the National Rate

-

Rate of successful return to home or community from an IRF - Observed number of discharges to community (DTC)

46

-

Rate of successful return to home or community from an IRF - Observed discharge to community rate

55.42

-

Rate of successful return to home or community from an IRF

58.93

-

Rate of successful return to home or community from an IRF - Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

51.65

-

Rate of successful return to home or community from an IRF - Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

66.24

-

Rate of successful return to home or community from an IRF - Number of eligible stays

83

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes

86

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.97

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator

173

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator

171

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

98.8

-

Other Measure

0.6

-

Other Measure

172

-

Other Measure

1

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

0.6

-

Other Measure

54

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated

38

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series

70.4

-