About the Facility
- CMS Certification Number (CCN)
- 423029
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1 Springback Way
- Phone Number
- (864) 716-2600
Facility Medical Condition Statistics
- All other conditions
- 300
- Brain disease or condition (non-traumatic)
- 143
- Brain injury (traumatic)
- 27
- Hip or femur fracture
- 146
- Hip or knee replacement, amputation or other bone or joint condition
- 238
- Nervous system disorder (excluding stroke)
- 306
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 157
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
- 2.751
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,007
- Predicted number of infections (B)
- 1.089
- 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
- 1,317
- Denominator
- 1,317
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.2
- Denominator
- 1,143
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.2
- Denominator
- 1,143
- Average observed change score
- 38.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 875
- Denominator
- 1,143
- Facility rate
- 76.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 859
- Denominator
- 1,143
- Facility rate
- 75.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 6
- Denominator
- 1,317
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.421
- SIR 95% confidence interval - upper limit
- 1.902
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 16,459
- Predicted number of infections (B)
- 7.281
- Number of infections reported (A)
- 7
- SIR (A/B)
- 0.961
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 235
- Number of health care workers
- 274
- Rate of flu vaccination
- 85.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 146
- Number of eligible stays
- 1,552
- Unadjusted potentially preventable readmission rate
- 9.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.60
- Lower limit of the 95% confidence interval on the RSRR
- 7.49
- Upper limit of the 95% confidence interval on the RSRR
- 9.96
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 90
- Number of eligible stays
- 1,701
- Unadjusted potentially preventable readmission rate
- 5.29
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.12
- Lower limit of the 95% confidence interval on the RSRR
- 4.34
- Upper limit of the 95% confidence interval on the RSRR
- 6.38
- 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)
- 969
- Number of eligible stays
- 1,364
- Observed discharge to community rate
- 71.04
- Risk-standardized discharge to community rate
- 71.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.70
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 1,756
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,314
- Denominator
- 1,317
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 17
- Denominator
- 1,317
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 189
- Number of health care workers
- 231
- Rate of COVID-19 vaccination
- 81.8