Prime Healthcare Foundation - Southern Regional LLC

Doing business as Southern Regional Medical Ctr

Inpatient rehabilitation facility in Riverdale, GA, Medicare certification number 11T165. CMS publishes 6 quality measures for it.

Medicare certification

Provider of Services

CCN: 11T165The number CMS certifies the facility under, not a provider identifier
Status: Not statedCertified as part of the facility above; the Provider of Services file does not list this unit separately
Part of: Southern Regional Medical CenterA certified unit of this hospital, CCN 110165
Ownership: Non-profit

NPI records for this facility 1

Prime Healthcare Foundation - Southern Regional, LLC
- Rehabilitation Hospital Unit
- Riverdale, GA
- NPI 1679946669
Medicare enrollment

Quality measures 6

Medicare Care Compare

Potentially preventable hospital readmissions 30 days after discharge (observed) 7.41
- State average 8.87 (computed here)
- National average 9.21
- Period from 10/01/2022
Potentially preventable hospital readmissions 30 days after discharge (risk-standardized) 9.15
- State average 9.31 (computed here)
- National average 9.26 (computed here)
- Period from 10/01/2022
Potentially preventable hospital readmissions during the stay (observed) 0
- State average 4.5 (computed here)
- National average 4.74
- Period from 10/01/2022
Potentially preventable hospital readmissions during the stay (risk-standardized) 4.5
- State average 4.81 (computed here)
- National average 4.83 (computed here)
- Period from 10/01/2022
Successful return to home or community (observed) 65.38
- State average 68.63 (computed here)
- National average 67.39
- Period from 10/01/2022
Successful return to home or community (risk-standardized) 65.97
- State average 69.45 (computed here)
- National average 67.21 (computed here)
- Period from 10/01/2022

Measures CMS does not publish for this facility (13)

Catheter-associated urinary tract infections (CAUTI) — 6,7
Clostridium difficile infection (CDI) — 6,7
Health care personnel who got a flu shot for the current season (observed) — 2
Medicare spending per beneficiary — 1
Patients at or above an expected ability to care for themselves and move around at discharge (observed) — 1
Patients at or above an expected ability to care for themselves at discharge (observed) — 1
Patients at or above an expected ability to move around at discharge (observed) — 1
Patients given a current medication list at final discharge (observed) — 1
Patients who experience one or more falls with major injury during their stay (observed) — 1
Patients whose current medication list was passed to the next health care setting (observed) — 2
Patients whose medications were reviewed, with follow-up when issues were identified (observed) — 1
Patients with pressure ulcers or injuries that are new or worsened (adjusted) — 1
Patients with pressure ulcers or injuries that are new or worsened (observed) — 1

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.