About the Facility
- CMS Certification Number (CCN)
- 013031
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
900 Oak Mountain Commons Lane
- Phone Number
- (205) 216-7621
Facility Medical Condition Statistics
- All other conditions
- 246
- Brain disease or condition (non-traumatic)
- 145
- Brain injury (traumatic)
- 37
- Hip or femur fracture
- 86
- Hip or knee replacement, amputation or other bone or joint condition
- 147
- Nervous system disorder (excluding stroke)
- 66
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 97
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.682
- SIR 95% confidence interval - upper limit
- 7.296
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,036
- Predicted number of infections (B)
- 1.119
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.681
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 819
- Denominator
- 819
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.5
- Denominator
- 684
- Average observed change score
- 15.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.2
- Denominator
- 684
- Average observed change score
- 34.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 587
- Denominator
- 684
- Facility rate
- 85.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 554
- Denominator
- 684
- Facility rate
- 81.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 819
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.992
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 10,970
- Predicted number of infections (B)
- 3.020
- 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
- 249
- Number of health care workers
- 296
- Rate of flu vaccination
- 84.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 95
- Number of eligible stays
- 827
- Unadjusted potentially preventable readmission rate
- 11.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.54
- Lower limit of the 95% confidence interval on the RSRR
- 8.20
- Upper limit of the 95% confidence interval on the RSRR
- 11.13
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 60
- Number of eligible stays
- 942
- Unadjusted potentially preventable readmission rate
- 6.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.69
- Lower limit of the 95% confidence interval on the RSRR
- 4.57
- Upper limit of the 95% confidence interval on the RSRR
- 6.84
- 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)
- 478
- Number of eligible stays
- 726
- Observed discharge to community rate
- 65.84
- Risk-standardized discharge to community rate
- 68.38
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.13
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.60
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 830
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 816
- Denominator
- 819
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 18
- Denominator
- 817
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 157
- Number of health care workers
- 189
- Rate of COVID-19 vaccination
- 83.1