Tidelands Health Rehabilitation Hospitals


About the Facility

CMS Certification Number (CCN)
423033
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
4070 Highway 17 Bypass South, 4th Floor
Phone Number
(843) 652-1350

Facility Medical Condition Statistics

All other conditions
449
Brain disease or condition (non-traumatic)
125
Brain injury (traumatic)
50
Hip or femur fracture
235
Hip or knee replacement, amputation or other bone or joint condition
283
Nervous system disorder (excluding stroke)
324
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
234

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.027
SIR 95% confidence interval - upper limit
2.615
Comparative performance category
No Different than the National Benchmark
Catheter days
1,509
Predicted number of infections (B)
1.886
Number of infections reported (A)
1
SIR (A/B)
0.530
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,730
Denominator
1,730
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
1,492
Average observed change score
13.4
Change in patients ability to move around
Average risk-adjusted change score
35.4
Denominator
1,494
Average observed change score
35.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,066
Denominator
1,494
Facility rate
71.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,130
Denominator
1,494
Facility rate
75.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
4
Denominator
1,729
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.005
SIR 95% confidence interval - upper limit
0.494
Comparative performance category
Better than the National Benchmark
Patient days
23,333
Predicted number of infections (B)
9.976
Number of infections reported (A)
1
SIR (A/B)
0.100
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
326
Number of health care workers
386
Rate of flu vaccination
84.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
190
Number of eligible stays
2,132
Unadjusted potentially preventable readmission rate
8.91
Risk-standardized potentially preventable readmission rate (RSRR)
9.01
Lower limit of the 95% confidence interval on the RSRR
7.92
Upper limit of the 95% confidence interval on the RSRR
10.16
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
141
Number of eligible stays
2,354
Unadjusted potentially preventable readmission rate
5.99
Risk-standardized potentially preventable readmission rate (RSRR)
6.30
Lower limit of the 95% confidence interval on the RSRR
5.53
Upper limit of the 95% confidence interval on the RSRR
7.40
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
1,325
Number of eligible stays
1,865
Observed discharge to community rate
71.05
Risk-standardized discharge to community rate
69.77
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.79
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.84
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
2,213
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,715
Denominator
1,730
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
1,730
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
510
Number of health care workers
582
Rate of COVID-19 vaccination
87.6