Musc Florence Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
42T091
Ownership Type
Government
CMS Region
Atlanta
Certification Date
Address
121 E Cedar Street
Phone Number
(843) 661-3381

Facility Medical Condition Statistics

All other conditions
124
Brain disease or condition (non-traumatic)
21
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
49
Hip or knee replacement, amputation or other bone or joint condition
47
Nervous system disorder (excluding stroke)
16
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
58

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
318
Predicted number of infections (B)
0.566
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
320
Denominator
320
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
297
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
36.2
Denominator
297
Average observed change score
37.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
185
Denominator
297
Facility rate
62.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
226
Denominator
297
Facility rate
76.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
320
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.578
Comparative performance category
No Different than the National Benchmark
Patient days
5,690
Predicted number of infections (B)
1.898
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
209
Number of health care workers
221
Rate of flu vaccination
94.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
48
Number of eligible stays
426
Unadjusted potentially preventable readmission rate
11.27
Risk-standardized potentially preventable readmission rate (RSRR)
9.51
Lower limit of the 95% confidence interval on the RSRR
7.80
Upper limit of the 95% confidence interval on the RSRR
11.65
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
455
Unadjusted potentially preventable readmission rate
3.96
Risk-standardized potentially preventable readmission rate (RSRR)
4.46
Lower limit of the 95% confidence interval on the RSRR
3.24
Upper limit of the 95% confidence interval on the RSRR
6.09
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)
237
Number of eligible stays
355
Observed discharge to community rate
66.76
Risk-standardized discharge to community rate
67.04
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.18
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.25
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
420
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
318
Denominator
320
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
319
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
40
Number of health care workers
48
Rate of COVID-19 vaccination
83.3