About the Facility
- CMS Certification Number (CCN)
- 34T132
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
566 Ruin Creek Rd
- Phone Number
- (252) 436-1166
Facility Medical Condition Statistics
- All other conditions
- 39
- 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
- 23
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- 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
- 36
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
- 116
- Predicted number of infections (B)
- 0.317
- 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
- 134
- Denominator
- 134
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 123
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 123
- Average observed change score
- 35.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 79
- Denominator
- 123
- Facility rate
- 64.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 103
- Denominator
- 123
- Facility rate
- 83.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 134
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,439
- Predicted number of infections (B)
- 0.964
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,114
- Number of health care workers
- 1,124
- Rate of flu vaccination
- 99.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 143
- Unadjusted potentially preventable readmission rate
- 10.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.36
- Lower limit of the 95% confidence interval on the RSRR
- 7.27
- Upper limit of the 95% confidence interval on the RSRR
- 11.87
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 150
- Unadjusted potentially preventable readmission rate
- 1.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.13
- Lower limit of the 95% confidence interval on the RSRR
- 2.44
- Upper limit of the 95% confidence interval on the RSRR
- 6.17
- 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)
- 88
- Number of eligible stays
- 124
- Observed discharge to community rate
- 70.97
- Risk-standardized discharge to community rate
- 67.28
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.80
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.66
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.85
- Number of eligible episodes
- 141
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 128
- Denominator
- 134
- Facility rate
- 95.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 134
- Facility observed rate
- 3.7
- Facility risk-adjusted rate
- 4.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 533
- Number of health care workers
- 631
- Rate of COVID-19 vaccination
- 84.5