Encompass Health Rehab Hospital of Bluffton


About the Facility

CMS Certification Number (CCN)
423032
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
107 Seagrass Road
Phone Number
(843) 836-8200

Facility Medical Condition Statistics

All other conditions
229
Brain disease or condition (non-traumatic)
98
Brain injury (traumatic)
30
Hip or femur fracture
130
Hip or knee replacement, amputation or other bone or joint condition
158
Nervous system disorder (excluding stroke)
119
Spinal cord disease or condition (non-traumatic)
30
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
118

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
650
Predicted number of infections (B)
0.702
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
899
Denominator
899
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
811
Average observed change score
14.2
Change in patients ability to move around
Average risk-adjusted change score
32.9
Denominator
813
Average observed change score
33.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
582
Denominator
813
Facility rate
71.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
539
Denominator
813
Facility rate
66.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
899
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.320
SIR 95% confidence interval - upper limit
2.429
Comparative performance category
No Different than the National Benchmark
Patient days
11,477
Predicted number of infections (B)
3.973
Number of infections reported (A)
4
SIR (A/B)
1.007
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
207
Number of health care workers
229
Rate of flu vaccination
90.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
95
Number of eligible stays
1,012
Unadjusted potentially preventable readmission rate
9.39
Risk-standardized potentially preventable readmission rate (RSRR)
9.64
Lower limit of the 95% confidence interval on the RSRR
8.29
Upper limit of the 95% confidence interval on the RSRR
11.21
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
45
Number of eligible stays
1,085
Unadjusted potentially preventable readmission rate
4.15
Risk-standardized potentially preventable readmission rate (RSRR)
4.75
Lower limit of the 95% confidence interval on the RSRR
3.70
Upper limit of the 95% confidence interval on the RSRR
5.74
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)
655
Number of eligible stays
859
Observed discharge to community rate
76.25
Risk-standardized discharge to community rate
72.87
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.45
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.14
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
1,137
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
899
Denominator
899
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
896
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
155
Number of health care workers
189
Rate of COVID-19 vaccination
82.0