Sea Pines Rehab Hosp Affiliate of Encompass Health


About the Facility

CMS Certification Number (CCN)
103034
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
101 E Florida Avenue
Phone Number
(321) 984-4600

Facility Medical Condition Statistics

All other conditions
308
Brain disease or condition (non-traumatic)
88
Brain injury (traumatic)
89
Hip or femur fracture
201
Hip or knee replacement, amputation or other bone or joint condition
442
Nervous system disorder (excluding stroke)
313
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
251

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.305
SIR 95% confidence interval - upper limit
3.259
Comparative performance category
No Different than the National Benchmark
Catheter days
2,318
Predicted number of infections (B)
2.505
Number of infections reported (A)
3
SIR (A/B)
1.198
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,696
Denominator
1,696
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.6
Denominator
1,500
Average observed change score
15.0
Change in patients ability to move around
Average risk-adjusted change score
30.0
Denominator
1,500
Average observed change score
32.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,088
Denominator
1,500
Facility rate
72.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
859
Denominator
1,500
Facility rate
57.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,696
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.496
SIR 95% confidence interval - upper limit
1.867
Comparative performance category
No Different than the National Benchmark
Patient days
24,513
Predicted number of infections (B)
8.848
Number of infections reported (A)
9
SIR (A/B)
1.017
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
268
Number of health care workers
372
Rate of flu vaccination
72.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
160
Number of eligible stays
1,802
Unadjusted potentially preventable readmission rate
8.88
Risk-standardized potentially preventable readmission rate (RSRR)
9.19
Lower limit of the 95% confidence interval on the RSRR
8.03
Upper limit of the 95% confidence interval on the RSRR
10.43
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
69
Number of eligible stays
1,938
Unadjusted potentially preventable readmission rate
3.56
Risk-standardized potentially preventable readmission rate (RSRR)
4.08
Lower limit of the 95% confidence interval on the RSRR
3.45
Upper limit of the 95% confidence interval on the RSRR
4.97
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)
1,098
Number of eligible stays
1,584
Observed discharge to community rate
69.32
Risk-standardized discharge to community rate
67.93
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.82
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.92
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
1,763
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,692
Denominator
1,696
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
33
Denominator
1,696
Facility observed rate
1.9
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
270
Number of health care workers
351
Rate of COVID-19 vaccination
76.9