Midlands Regional Rehabilitation Hospital

Ratings, patient outcomes, and contact information for their location in Elgin, South Carolina


Patient Ratings
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Address:

MIDLANDS REGIONAL REHABILITATION HOSPITAL
20 PINNACLE PKWY -
ELGIN, SC 29045 [Kershaw county]

Phone Number:

(803) 438-8890

Ownership Type:

For profit

Medicare Certified on:

09/28/2020

Conditions during the last survey period

Condition Treated
# of Times Treated

Brain disease or condition (non-traumatic)

43

Brain injury (traumatic)

28

Hip or femur fracture

77

Hip or knee replacement, amputation or other bone or joint condition

134

Nervous system disorder (excluding stroke)

55

Spinal cord disease or condition (non-traumatic)

27

Spinal cord injury (traumatic)

Less than 11

Stroke

102

Patient outcomes at MIDLANDS REGIONAL REHABILITATION HOSPITAL during the last survey period:

(compared to national levels and expectations)
Click to expand each topic and view patient results:
Infections from using a urinary catheter

Lowest estimate for how common catheter infections are: 0.285

Highest estimate for how common catheter infections are: 5.609

How the facility compares to others: No Different than the National Benchmark

Days patients had a catheter: 1,090

Expected number of infections: 1.178

Actual number of infections: 2

Infection ratio compared to the national average: 1.698

How often patients were checked for their ability to do everyday activities and had goals set to improve it

Total number of patients: 623

Number of assessed patients: 623

Rate of patients assessed for functionality: 100.0

Improvement in patients taking care of themselves

Adjusted score for patient self-care improvement: 14.4

Total number of patients: 555

Actual score for patient self-care improvement: 15.8

Improvement in patients moving around

Adjusted score for patient mobility improvement: 39.8

Total number of patients: 555

Actual score for patient mobility improvement: 39.7

Patients who can take care of themselves as expected when they leave

Total number of patients: 555

Number of patients self-caring as expected at discharge: 452

Rate of patients self-caring as expected at discharge: 81.4

Patients who can move around as expected when they leave

Total number of patients: 555

Number of patients mobile as expected at discharge: 495

Rate of patients mobile as expected at discharge: 89.2

Patients who fall and get seriously hurt during their stay

Total number of patients: 623

Number of falls with major injury: 2

Rate of falls with major injury: 0.3

Infections caused by a tough-to-treat bacteria called Clostridium difficile

Lowest estimate for how common Clostridium difficile infections are: 0.013

Highest estimate for how common Clostridium difficile infections are: 1.317

How the facility compares to others in infection control: No Different than the National Benchmark

Days patients were at risk for infection: 9,732

Expected number of Clostridium difficile infections: 3.746

Actual number of Clostridium difficile infections: 1

Infection ratio compared to the national average: 0.267

Healthcare workers who got a flu shot for the current season

Total number of healthcare workers: 242

Number of healthcare workers vaccinated against flu: 111

Rate of flu vaccination among healthcare workers: 45.9

Rate of avoidable hospital visits 30 days after leaving

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions after leaving: 8.33

Number of avoidable readmissions after leaving: 56

Risk-adjusted rate of avoidable readmissions after leaving: 8.32

Lowest estimate of the risk-adjusted rate: 6.98

Highest estimate of the risk-adjusted rate: 10.09

Total number of patients: 672

Rate of avoidable hospital visits during the stay

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions during the stay: 5.30

Number of avoidable readmissions during the stay: 39

Risk-adjusted rate of avoidable readmissions during the stay: 5.27

Lowest estimate of the risk-adjusted rate: 4.23

Highest estimate of the risk-adjusted rate: 6.83

Total number of patients: 736

Success rate of returning home or to the community from the hospital

How the facility compares to others in returning patients home or to the community: Better than the National Rate

Number of patients who went home or to the community: 462

Rate of patients going home or to the community: 72.87

Risk-adjusted rate of patients going home or to the community: 72.09

Lowest estimate of the risk-adjusted rate: 68.70

Highest estimate of the risk-adjusted rate: 75.16

Total number of patients: 634

How much Medicare spends on a patient compared to others

Number of patient episodes evaluated: 755

Score for how much Medicare spends per patient: 1.00

Checking and following up on patients’ medications

Total number of patients: 623

Number of patients with reviewed medications: 622

Rate of medication review and follow-up care: 99.8

Patients who developed or worsened pressure ulcers/injuries

Adjusted rate of new or worsened pressure ulcers/injuries: 2.1

Total number of patients at risk: 623

Number of new or worsened pressure ulcers/injuries: 16

Rate of new or worsened pressure ulcers/injuries: 2.6


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