About the Facility
- CMS Certification Number (CCN)
- 34T131
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2000 Neuse Blvd.
- Phone Number
- (252) 634-6001
Facility Medical Condition Statistics
- All other conditions
- 54
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 36
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 54
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
- 194
- Predicted number of infections (B)
- 0.528
- 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
- 202
- Denominator
- 204
- Facility rate
- 99.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.0
- Denominator
- 187
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.9
- Denominator
- 187
- Average observed change score
- 32.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 137
- Denominator
- 187
- Facility rate
- 73.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 105
- Denominator
- 187
- Facility rate
- 56.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 203
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.393
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,411
- Predicted number of infections (B)
- 1.252
- 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
- 68
- Number of health care workers
- 68
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 17
- Number of eligible stays
- 356
- Unadjusted potentially preventable readmission rate
- 4.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.81
- Lower limit of the 95% confidence interval on the RSRR
- 6.15
- Upper limit of the 95% confidence interval on the RSRR
- 9.71
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 387
- Unadjusted potentially preventable readmission rate
- 3.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.73
- Lower limit of the 95% confidence interval on the RSRR
- 3.30
- Upper limit of the 95% confidence interval on the RSRR
- 6.70
- 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)
- 254
- Number of eligible stays
- 323
- Observed discharge to community rate
- 78.64
- Risk-standardized discharge to community rate
- 72.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.57
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.81
- Number of eligible episodes
- 353
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 199
- Denominator
- 204
- Facility rate
- 97.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 202
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 62
- Number of health care workers
- 65
- Rate of COVID-19 vaccination
- 95.4