About the Facility
- CMS Certification Number (CCN)
- 423027
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
9181 Medcom St
- Phone Number
- (843) 820-7777
Facility Medical Condition Statistics
- All other conditions
- 332
- Brain disease or condition (non-traumatic)
- 109
- Brain injury (traumatic)
- 31
- Hip or femur fracture
- 88
- Hip or knee replacement, amputation or other bone or joint condition
- 191
- Nervous system disorder (excluding stroke)
- 82
- Spinal cord disease or condition (non-traumatic)
- 32
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 175
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
- 405
- Predicted number of infections (B)
- 0.437
- 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
- 987
- Denominator
- 987
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 897
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.0
- Denominator
- 897
- Average observed change score
- 32.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 631
- Denominator
- 897
- Facility rate
- 70.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 617
- Denominator
- 897
- Facility rate
- 68.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 986
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.607
- SIR 95% confidence interval - upper limit
- 2.746
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,945
- Predicted number of infections (B)
- 5.042
- Number of infections reported (A)
- 7
- SIR (A/B)
- 1.388
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 303
- Number of health care workers
- 347
- Rate of flu vaccination
- 87.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 92
- Number of eligible stays
- 935
- Unadjusted potentially preventable readmission rate
- 9.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.06
- Lower limit of the 95% confidence interval on the RSRR
- 7.69
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 39
- Number of eligible stays
- 1,014
- Unadjusted potentially preventable readmission rate
- 3.85
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.35
- Lower limit of the 95% confidence interval on the RSRR
- 3.29
- Upper limit of the 95% confidence interval on the RSRR
- 5.55
- 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)
- 577
- Number of eligible stays
- 805
- Observed discharge to community rate
- 71.68
- Risk-standardized discharge to community rate
- 71.56
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.52
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.45
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 1,017
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 982
- Denominator
- 987
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 982
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 213
- Number of health care workers
- 256
- Rate of COVID-19 vaccination
- 83.2