About the Facility
- CMS Certification Number (CCN)
- 343025
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
68 Sweeten Creek Rd
- Phone Number
- (828) 274-2400
Facility Medical Condition Statistics
- All other conditions
- 330
- Brain disease or condition (non-traumatic)
- 75
- Brain injury (traumatic)
- 81
- Hip or femur fracture
- 127
- Hip or knee replacement, amputation or other bone or joint condition
- 190
- Nervous system disorder (excluding stroke)
- 98
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- 23
- Stroke
- 283
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.352
- SIR 95% confidence interval - upper limit
- 3.766
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 900
- Predicted number of infections (B)
- 2.168
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.384
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,199
- Denominator
- 1,201
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,055
- Average observed change score
- 15.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.5
- Denominator
- 1,055
- Average observed change score
- 35.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 736
- Denominator
- 1,055
- Facility rate
- 69.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 725
- Denominator
- 1,055
- Facility rate
- 68.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,201
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.340
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 21,270
- Predicted number of infections (B)
- 8.819
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 189
- Number of health care workers
- 278
- Rate of flu vaccination
- 68.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 65
- Number of eligible stays
- 1,354
- Unadjusted potentially preventable readmission rate
- 4.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.78
- Lower limit of the 95% confidence interval on the RSRR
- 5.66
- Upper limit of the 95% confidence interval on the RSRR
- 7.99
- Comparative performance category
- Better than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 63
- Number of eligible stays
- 1,479
- Unadjusted potentially preventable readmission rate
- 4.26
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.92
- Lower limit of the 95% confidence interval on the RSRR
- 3.95
- Upper limit of the 95% confidence interval on the RSRR
- 6.21
- 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)
- 856
- Number of eligible stays
- 1,206
- Observed discharge to community rate
- 70.98
- Risk-standardized discharge to community rate
- 68.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.90
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 1,326
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,178
- Denominator
- 1,201
- Facility rate
- 98.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 1,200
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 211
- Number of health care workers
- 298
- Rate of COVID-19 vaccination
- 70.8