Encompass Health Rehabilitation Hospital Greenvill


About the Facility

CMS Certification Number (CCN)
423035
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
3372 Laurens Rd
Phone Number
(864) 537-4600

Facility Medical Condition Statistics

All other conditions
276
Brain disease or condition (non-traumatic)
108
Brain injury (traumatic)
22
Hip or femur fracture
125
Hip or knee replacement, amputation or other bone or joint condition
140
Nervous system disorder (excluding stroke)
106
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
171

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.532
SIR 95% confidence interval - upper limit
5.694
Comparative performance category
No Different than the National Benchmark
Catheter days
1,068
Predicted number of infections (B)
1.434
Number of infections reported (A)
3
SIR (A/B)
2.092
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
945
Denominator
945
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.3
Denominator
830
Average observed change score
15.0
Change in patients ability to move around
Average risk-adjusted change score
35.5
Denominator
830
Average observed change score
35.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
626
Denominator
830
Facility rate
75.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
615
Denominator
830
Facility rate
74.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
945
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.010
SIR 95% confidence interval - upper limit
0.961
Comparative performance category
Better than the National Benchmark
Patient days
13,435
Predicted number of infections (B)
5.129
Number of infections reported (A)
1
SIR (A/B)
0.195
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
202
Number of health care workers
254
Rate of flu vaccination
79.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
53
Number of eligible stays
563
Unadjusted potentially preventable readmission rate
9.41
Risk-standardized potentially preventable readmission rate (RSRR)
8.82
Lower limit of the 95% confidence interval on the RSRR
7.25
Upper limit of the 95% confidence interval on the RSRR
10.50
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
38
Number of eligible stays
628
Unadjusted potentially preventable readmission rate
6.05
Risk-standardized potentially preventable readmission rate (RSRR)
5.66
Lower limit of the 95% confidence interval on the RSRR
4.40
Upper limit of the 95% confidence interval on the RSRR
7.04
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)
400
Number of eligible stays
556
Observed discharge to community rate
71.94
Risk-standardized discharge to community rate
72.35
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.66
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.57
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
574
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
927
Denominator
945
Facility rate
98.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
943
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
160
Number of health care workers
214
Rate of COVID-19 vaccination
74.8