About the Facility
- CMS Certification Number (CCN)
- 34T040
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
Po Box 8447
- Phone Number
- (252) 847-0873
Facility Medical Condition Statistics
- All other conditions
- 241
- Brain disease or condition (non-traumatic)
- 59
- Brain injury (traumatic)
- 61
- Hip or femur fracture
- 60
- Hip or knee replacement, amputation or other bone or joint condition
- 133
- Nervous system disorder (excluding stroke)
- 32
- Spinal cord disease or condition (non-traumatic)
- 66
- Spinal cord injury (traumatic)
- 22
- Stroke
- 219
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.681
- SIR 95% confidence interval - upper limit
- 2.784
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,003
- Predicted number of infections (B)
- 5.456
- Number of infections reported (A)
- 8
- SIR (A/B)
- 1.466
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 888
- Denominator
- 890
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.1
- Denominator
- 761
- Average observed change score
- 8.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.5
- Denominator
- 761
- Average observed change score
- 22.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 202
- Denominator
- 761
- Facility rate
- 26.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 195
- Denominator
- 761
- Facility rate
- 25.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 890
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.043
- SIR 95% confidence interval - upper limit
- 0.838
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 20,466
- Predicted number of infections (B)
- 7.885
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.254
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 439
- Number of health care workers
- 446
- Rate of flu vaccination
- 98.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 63
- Number of eligible stays
- 919
- Unadjusted potentially preventable readmission rate
- 6.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.80
- Lower limit of the 95% confidence interval on the RSRR
- 6.52
- Upper limit of the 95% confidence interval on the RSRR
- 9.22
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 62
- Number of eligible stays
- 1,066
- Unadjusted potentially preventable readmission rate
- 5.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.86
- Lower limit of the 95% confidence interval on the RSRR
- 4.83
- Upper limit of the 95% confidence interval on the RSRR
- 7.40
- 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)
- 523
- Number of eligible stays
- 845
- Observed discharge to community rate
- 61.89
- Risk-standardized discharge to community rate
- 62.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.73
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 921
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 879
- Denominator
- 890
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 34
- Denominator
- 890
- Facility observed rate
- 3.8
- Facility risk-adjusted rate
- 4.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 246
- Number of health care workers
- 275
- Rate of COVID-19 vaccination
- 89.5