About the Facility
- CMS Certification Number (CCN)
- 013028
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
4465 Narrow Lane Rd
- Phone Number
- (334) 284-7821
Facility Medical Condition Statistics
- All other conditions
- 431
- Brain disease or condition (non-traumatic)
- 135
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 152
- Hip or knee replacement, amputation or other bone or joint condition
- 244
- Nervous system disorder (excluding stroke)
- 212
- Spinal cord disease or condition (non-traumatic)
- 35
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 296
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
- 0.968
- Comparative performance category
- Better than the National Benchmark
- Catheter days
- 2,866
- Predicted number of infections (B)
- 3.095
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,511
- Denominator
- 1,511
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.7
- Denominator
- 1,263
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.7
- Denominator
- 1,263
- Average observed change score
- 35.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 892
- Denominator
- 1,263
- Facility rate
- 70.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,022
- Denominator
- 1,263
- Facility rate
- 80.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,511
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.155
- SIR 95% confidence interval - upper limit
- 1.176
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 23,597
- Predicted number of infections (B)
- 8.206
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.487
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 283
- Number of health care workers
- 370
- Rate of flu vaccination
- 76.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 190
- Number of eligible stays
- 1,535
- Unadjusted potentially preventable readmission rate
- 12.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.34
- Lower limit of the 95% confidence interval on the RSRR
- 9.23
- Upper limit of the 95% confidence interval on the RSRR
- 11.58
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 111
- Number of eligible stays
- 1,775
- Unadjusted potentially preventable readmission rate
- 6.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.50
- Lower limit of the 95% confidence interval on the RSRR
- 4.73
- Upper limit of the 95% confidence interval on the RSRR
- 6.50
- 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)
- 847
- Number of eligible stays
- 1,365
- Observed discharge to community rate
- 62.05
- Risk-standardized discharge to community rate
- 65.78
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.23
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 1,517
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,505
- Denominator
- 1,511
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 1,501
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 283
- Number of health care workers
- 326
- Rate of COVID-19 vaccination
- 86.8