Prisma Health Roger C. Peace Rehabilitation Hospit


About the Facility

CMS Certification Number (CCN)
42T078
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
701 Grove Road
Phone Number
(864) 455-3779

Facility Medical Condition Statistics

All other conditions
98
Brain disease or condition (non-traumatic)
18
Brain injury (traumatic)
24
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
58
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
27
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
84

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.114
SIR 95% confidence interval - upper limit
2.251
Comparative performance category
No Different than the National Benchmark
Catheter days
1,419
Predicted number of infections (B)
2.935
Number of infections reported (A)
2
SIR (A/B)
0.681
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
370
Denominator
373
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
8.9
Denominator
330
Average observed change score
9.8
Change in patients ability to move around
Average risk-adjusted change score
25.6
Denominator
330
Average observed change score
27.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
107
Denominator
330
Facility rate
32.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
142
Denominator
330
Facility rate
43.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
373
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.222
SIR 95% confidence interval - upper limit
1.689
Comparative performance category
No Different than the National Benchmark
Patient days
13,364
Predicted number of infections (B)
5.712
Number of infections reported (A)
4
SIR (A/B)
0.700
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
182
Number of health care workers
199
Rate of flu vaccination
91.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
25
Number of eligible stays
444
Unadjusted potentially preventable readmission rate
5.63
Risk-standardized potentially preventable readmission rate (RSRR)
7.68
Lower limit of the 95% confidence interval on the RSRR
6.14
Upper limit of the 95% confidence interval on the RSRR
9.46
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
16
Number of eligible stays
475
Unadjusted potentially preventable readmission rate
3.37
Risk-standardized potentially preventable readmission rate (RSRR)
4.28
Lower limit of the 95% confidence interval on the RSRR
3.15
Upper limit of the 95% confidence interval on the RSRR
6.68
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)
274
Number of eligible stays
392
Observed discharge to community rate
69.90
Risk-standardized discharge to community rate
68.07
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.74
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.97
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
398
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
340
Denominator
373
Facility rate
91.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
371
Facility observed rate
1.9
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
171
Number of health care workers
192
Rate of COVID-19 vaccination
89.1