About the Facility
- CMS Certification Number (CCN)
- 423031
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
160 Harold Fleming Court
- Phone Number
- (864) 641-6510
Facility Medical Condition Statistics
- All other conditions
- 219
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 93
- Hip or knee replacement, amputation or other bone or joint condition
- 192
- Nervous system disorder (excluding stroke)
- 86
- 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
- 94
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
- 693
- Predicted number of infections (B)
- 0.749
- Number of infections reported (A)
- 5
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 715
- Denominator
- 715
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.1
- Denominator
- 626
- Average observed change score
- 18.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 42.5
- Denominator
- 626
- Average observed change score
- 44.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 522
- Denominator
- 626
- Facility rate
- 83.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 536
- Denominator
- 626
- Facility rate
- 85.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 715
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.333
- SIR 95% confidence interval - upper limit
- 2.526
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,660
- Predicted number of infections (B)
- 3.820
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.047
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 171
- Number of health care workers
- 247
- Rate of flu vaccination
- 69.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 81
- Number of eligible stays
- 856
- Unadjusted potentially preventable readmission rate
- 9.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.12
- Lower limit of the 95% confidence interval on the RSRR
- 7.68
- Upper limit of the 95% confidence interval on the RSRR
- 10.83
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 61
- Number of eligible stays
- 957
- Unadjusted potentially preventable readmission rate
- 6.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.89
- Lower limit of the 95% confidence interval on the RSRR
- 4.76
- Upper limit of the 95% confidence interval on the RSRR
- 7.77
- 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)
- 498
- Number of eligible stays
- 767
- Observed discharge to community rate
- 64.93
- Risk-standardized discharge to community rate
- 67.48
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.94
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.75
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 966
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 711
- Denominator
- 715
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 712
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 201
- Number of health care workers
- 232
- Rate of COVID-19 vaccination
- 86.6