About the Facility
- CMS Certification Number (CCN)
- 42T049
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
300 Singleton Ridge Road
- Phone Number
- (843) 347-8037
Facility Medical Condition Statistics
- All other conditions
- 99
- Brain disease or condition (non-traumatic)
- 18
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 40
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- 42
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 43
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
- 251
- Predicted number of infections (B)
- 0.362
- 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
- 275
- Denominator
- 275
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 249
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.6
- Denominator
- 250
- Average observed change score
- 38.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 136
- Denominator
- 250
- Facility rate
- 54.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 161
- Denominator
- 250
- Facility rate
- 64.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 275
- Facility rate
- 0.7
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.213
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,272
- Predicted number of infections (B)
- 1.354
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 8
- Number of health care workers
- 9
- Rate of flu vaccination
- 88.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 138
- Unadjusted potentially preventable readmission rate
- 11.59
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 7.04
- Upper limit of the 95% confidence interval on the RSRR
- 11.38
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 144
- Unadjusted potentially preventable readmission rate
- 1.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.89
- Lower limit of the 95% confidence interval on the RSRR
- 2.33
- Upper limit of the 95% confidence interval on the RSRR
- 5.79
- 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)
- 90
- Number of eligible stays
- 132
- Observed discharge to community rate
- 68.18
- Risk-standardized discharge to community rate
- 68.16
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.38
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.48
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 143
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 255
- Denominator
- 275
- Facility rate
- 92.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 25
- Denominator
- 275
- Facility observed rate
- 9.1
- Facility risk-adjusted rate
- 8.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 13
- Number of health care workers
- 14
- Rate of COVID-19 vaccination
- 92.9