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