About the Facility
- CMS Certification Number (CCN)
- 34T147
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2400 Medpark Drive
- Phone Number
- (252) 962-3709
Facility Medical Condition Statistics
- All other conditions
- 88
- 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
- 63
- Hip or knee replacement, amputation or other bone or joint condition
- 84
- 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
- 108
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
- 407
- Predicted number of infections (B)
- 0.578
- 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
- 367
- Denominator
- 368
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 335
- Average observed change score
- 11.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.9
- Denominator
- 335
- Average observed change score
- 31.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 162
- Denominator
- 335
- Facility rate
- 48.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 161
- Denominator
- 335
- Facility rate
- 48.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 368
- 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
- 1.501
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,167
- Predicted number of infections (B)
- 1.996
- 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
- 73
- Number of health care workers
- 74
- Rate of flu vaccination
- 98.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 39
- Number of eligible stays
- 536
- Unadjusted potentially preventable readmission rate
- 7.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.96
- Upper limit of the 95% confidence interval on the RSRR
- 10.39
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 566
- Unadjusted potentially preventable readmission rate
- 2.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.95
- Lower limit of the 95% confidence interval on the RSRR
- 2.92
- Upper limit of the 95% confidence interval on the RSRR
- 5.13
- 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)
- 360
- Number of eligible stays
- 473
- Observed discharge to community rate
- 76.11
- Risk-standardized discharge to community rate
- 71.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.77
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.35
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.85
- Number of eligible episodes
- 500
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 366
- Denominator
- 368
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 368
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 107
- Number of health care workers
- 112
- Rate of COVID-19 vaccination
- 95.5