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