About the Facility
- CMS Certification Number (CCN)
- 34T015
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
612 Mocksville Avenue
- Phone Number
- (704) 210-5308
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 23
- Nervous system disorder (excluding stroke)
- 36
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- -
- Stroke
- 31
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
- 211
- Predicted number of infections (B)
- 0.435
- 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
- 139
- Denominator
- 140
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 124
- Average observed change score
- 12.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.8
- Denominator
- 124
- Average observed change score
- 28.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 68
- Denominator
- 124
- Facility rate
- 54.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 48
- Denominator
- 124
- Facility rate
- 38.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 140
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.036
- SIR 95% confidence interval - upper limit
- 3.580
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,683
- Predicted number of infections (B)
- 1.378
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.726
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 25
- Number of health care workers
- 29
- Rate of flu vaccination
- 86.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 8
- Number of eligible stays
- 186
- Unadjusted potentially preventable readmission rate
- 4.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.95
- Lower limit of the 95% confidence interval on the RSRR
- 6.12
- Upper limit of the 95% confidence interval on the RSRR
- 10.22
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 212
- Unadjusted potentially preventable readmission rate
- 4.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.33
- Lower limit of the 95% confidence interval on the RSRR
- 3.31
- Upper limit of the 95% confidence interval on the RSRR
- 7.73
- 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)
- 126
- Number of eligible stays
- 166
- Observed discharge to community rate
- 75.90
- Risk-standardized discharge to community rate
- 70.12
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.80
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.94
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 176
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 134
- Denominator
- 140
- Facility rate
- 95.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 139
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- 0
- Rate of COVID-19 vaccination
- Not Available