About the Facility
- CMS Certification Number (CCN)
- 34T115
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
155 Memorial Drive
- Phone Number
- (910) 715-1000
Facility Medical Condition Statistics
- All other conditions
- 24
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 42
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 66
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
- 2.906
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 379
- Predicted number of infections (B)
- 1.031
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 188
- Denominator
- 188
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 173
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.8
- Denominator
- 173
- Average observed change score
- 31.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 133
- Denominator
- 173
- Facility rate
- 76.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 115
- Denominator
- 173
- Facility rate
- 66.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 188
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.329
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,338
- Predicted number of infections (B)
- 1.286
- 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
- 64
- Number of health care workers
- 66
- Rate of flu vaccination
- 97.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 5
- Number of eligible stays
- 183
- Unadjusted potentially preventable readmission rate
- 2.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.59
- Lower limit of the 95% confidence interval on the RSRR
- 5.75
- Upper limit of the 95% confidence interval on the RSRR
- 9.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 204
- Unadjusted potentially preventable readmission rate
- 4.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.44
- Upper limit of the 95% confidence interval on the RSRR
- 7.39
- 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)
- 125
- Number of eligible stays
- 170
- Observed discharge to community rate
- 73.53
- Risk-standardized discharge to community rate
- 71.20
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.99
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.23
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 188
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 187
- Denominator
- 188
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 188
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 43
- Number of health care workers
- 48
- Rate of COVID-19 vaccination
- 89.6