Greenwood Regional Rehabilitation Hospital, Inc


About the Facility

CMS Certification Number (CCN)
423030
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1530 Parkway
Phone Number
(864) 330-9070

Facility Medical Condition Statistics

All other conditions
223
Brain disease or condition (non-traumatic)
60
Brain injury (traumatic)
22
Hip or femur fracture
13
Hip or knee replacement, amputation or other bone or joint condition
92
Nervous system disorder (excluding stroke)
115
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
91

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
655
Predicted number of infections (B)
0.708
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
605
Denominator
605
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.2
Denominator
539
Average observed change score
18.7
Change in patients ability to move around
Average risk-adjusted change score
37.7
Denominator
539
Average observed change score
37.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
430
Denominator
539
Facility rate
79.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
417
Denominator
539
Facility rate
77.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
605
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.096
SIR 95% confidence interval - upper limit
1.882
Comparative performance category
No Different than the National Benchmark
Patient days
9,446
Predicted number of infections (B)
3.510
Number of infections reported (A)
2
SIR (A/B)
0.570
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
172
Number of health care workers
205
Rate of flu vaccination
83.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
48
Number of eligible stays
713
Unadjusted potentially preventable readmission rate
6.73
Risk-standardized potentially preventable readmission rate (RSRR)
6.85
Lower limit of the 95% confidence interval on the RSRR
5.68
Upper limit of the 95% confidence interval on the RSRR
8.24
Comparative performance category
Better than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
33
Number of eligible stays
771
Unadjusted potentially preventable readmission rate
4.28
Risk-standardized potentially preventable readmission rate (RSRR)
4.14
Lower limit of the 95% confidence interval on the RSRR
2.95
Upper limit of the 95% confidence interval on the RSRR
5.82
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)
419
Number of eligible stays
606
Observed discharge to community rate
69.14
Risk-standardized discharge to community rate
72.75
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.01
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
778
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
596
Denominator
605
Facility rate
98.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
604
Facility observed rate
1.0
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
169
Number of health care workers
192
Rate of COVID-19 vaccination
88.0