About the Facility
- CMS Certification Number (CCN)
- 42T079
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
9330 Medical Plaza Dr
- Phone Number
- (843) 847-5659
Facility Medical Condition Statistics
- All other conditions
- 76
- Brain disease or condition (non-traumatic)
- 38
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 60
- Hip or knee replacement, amputation or other bone or joint condition
- 40
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 94
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
- 225
- Predicted number of infections (B)
- 0.346
- 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
- 316
- Denominator
- 316
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 292
- Average observed change score
- 15.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.6
- Denominator
- 292
- Average observed change score
- 37.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 258
- Denominator
- 292
- Facility rate
- 88.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 253
- Denominator
- 292
- Facility rate
- 86.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 316
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.032
- SIR 95% confidence interval - upper limit
- 3.117
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,901
- Predicted number of infections (B)
- 1.582
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.632
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 20
- Number of health care workers
- 47
- Rate of flu vaccination
- 42.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 32
- Number of eligible stays
- 422
- Unadjusted potentially preventable readmission rate
- 7.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.18
- Lower limit of the 95% confidence interval on the RSRR
- 6.55
- Upper limit of the 95% confidence interval on the RSRR
- 9.96
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 451
- Unadjusted potentially preventable readmission rate
- 3.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.09
- Lower limit of the 95% confidence interval on the RSRR
- 2.65
- Upper limit of the 95% confidence interval on the RSRR
- 5.58
- 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)
- 278
- Number of eligible stays
- 372
- Observed discharge to community rate
- 74.73
- Risk-standardized discharge to community rate
- 73.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.90
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 387
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 313
- Denominator
- 316
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 313
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 42
- Number of health care workers
- 53
- Rate of COVID-19 vaccination
- 79.2