About the Facility
- CMS Certification Number (CCN)
- 42T023
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1 St. Francis Drive
- Phone Number
- (864) 255-1954
Facility Medical Condition Statistics
- All other conditions
- 85
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 28
- Hip or knee replacement, amputation or other bone or joint condition
- 27
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 41
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
- 345
- Predicted number of infections (B)
- 0.836
- 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
- 234
- Denominator
- 234
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.0
- Denominator
- 203
- Average observed change score
- 8.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.6
- Denominator
- 203
- Average observed change score
- 28.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 77
- Denominator
- 203
- Facility rate
- 37.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 79
- Denominator
- 203
- Facility rate
- 38.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 234
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.428
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,526
- Predicted number of infections (B)
- 2.031
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.492
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 273
- Number of health care workers
- 302
- 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
- 15
- Number of eligible stays
- 167
- Unadjusted potentially preventable readmission rate
- 8.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.20
- Lower limit of the 95% confidence interval on the RSRR
- 7.25
- Upper limit of the 95% confidence interval on the RSRR
- 11.96
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 186
- Unadjusted potentially preventable readmission rate
- 4.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.09
- Lower limit of the 95% confidence interval on the RSRR
- 3.69
- Upper limit of the 95% confidence interval on the RSRR
- 8.24
- 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)
- 106
- Number of eligible stays
- 156
- Observed discharge to community rate
- 67.95
- Risk-standardized discharge to community rate
- 64.82
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.83
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.14
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 160
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 233
- Denominator
- 234
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 233
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 236
- Number of health care workers
- 275
- Rate of COVID-19 vaccination
- 85.8