About the Facility
- CMS Certification Number (CCN)
- 423034
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
20 Pinnacle Pkwy
- Phone Number
- (803) 438-8890
Facility Medical Condition Statistics
- All other conditions
- 171
- Brain disease or condition (non-traumatic)
- 47
- Brain injury (traumatic)
- 37
- Hip or femur fracture
- 84
- Hip or knee replacement, amputation or other bone or joint condition
- 130
- Nervous system disorder (excluding stroke)
- 53
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 114
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.757
- SIR 95% confidence interval - upper limit
- 8.100
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 933
- Predicted number of infections (B)
- 1.008
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.976
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 636
- Denominator
- 636
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.8
- Denominator
- 573
- Average observed change score
- 16.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.5
- Denominator
- 573
- Average observed change score
- 39.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 487
- Denominator
- 573
- Facility rate
- 85.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 515
- Denominator
- 573
- Facility rate
- 89.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 636
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.013
- SIR 95% confidence interval - upper limit
- 1.245
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,812
- Predicted number of infections (B)
- 3.962
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.252
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 111
- Number of health care workers
- 242
- Rate of flu vaccination
- 45.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 56
- Number of eligible stays
- 672
- Unadjusted potentially preventable readmission rate
- 8.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.32
- Lower limit of the 95% confidence interval on the RSRR
- 6.98
- Upper limit of the 95% confidence interval on the RSRR
- 10.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 39
- Number of eligible stays
- 736
- Unadjusted potentially preventable readmission rate
- 5.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.27
- Lower limit of the 95% confidence interval on the RSRR
- 4.23
- Upper limit of the 95% confidence interval on the RSRR
- 6.83
- 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)
- 462
- Number of eligible stays
- 634
- Observed discharge to community rate
- 72.87
- Risk-standardized discharge to community rate
- 72.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.16
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 755
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 635
- Denominator
- 636
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 636
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 204
- Number of health care workers
- 219
- Rate of COVID-19 vaccination
- 93.2