The Rehab Unit at Beaufort Memorial Hospital


About the Facility

CMS Certification Number (CCN)
42T067
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
955 Ribaut Rd
Phone Number
(843) 522-5821

Facility Medical Condition Statistics

All other conditions
63
Brain disease or condition (non-traumatic)
21
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
53
Hip or knee replacement, amputation or other bone or joint condition
56
Nervous system disorder (excluding stroke)
18
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
46

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
123
Predicted number of infections (B)
0.178
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
258
Denominator
258
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
226
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
35.0
Denominator
226
Average observed change score
33.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
155
Denominator
226
Facility rate
68.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
165
Denominator
226
Facility rate
73.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
258
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.031
SIR 95% confidence interval - upper limit
3.014
Comparative performance category
No Different than the National Benchmark
Patient days
3,762
Predicted number of infections (B)
1.637
Number of infections reported (A)
1
SIR (A/B)
0.611
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
7
Number of health care workers
9
Rate of flu vaccination
77.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
29
Number of eligible stays
318
Unadjusted potentially preventable readmission rate
9.12
Risk-standardized potentially preventable readmission rate (RSRR)
9.24
Lower limit of the 95% confidence interval on the RSRR
7.37
Upper limit of the 95% confidence interval on the RSRR
11.60
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
352
Unadjusted potentially preventable readmission rate
4.26
Risk-standardized potentially preventable readmission rate (RSRR)
5.16
Lower limit of the 95% confidence interval on the RSRR
3.65
Upper limit of the 95% confidence interval on the RSRR
6.99
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)
186
Number of eligible stays
285
Observed discharge to community rate
65.26
Risk-standardized discharge to community rate
62.46
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.39
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.44
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
304
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
256
Denominator
258
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
257
Facility observed rate
1.9
Facility risk-adjusted rate
2.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
26
Number of health care workers
30
Rate of COVID-19 vaccination
86.7