About the Facility
- CMS Certification Number (CCN)
- 01T104
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
3690 Grandview Parkway
- Phone Number
- (205) 971-4520
Facility Medical Condition Statistics
- All other conditions
- 102
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 73
- Hip or knee replacement, amputation or other bone or joint condition
- 68
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 62
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
- 241
- Predicted number of infections (B)
- 0.625
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 373
- Denominator
- 373
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 317
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.4
- Denominator
- 317
- Average observed change score
- 37.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 224
- Denominator
- 317
- Facility rate
- 70.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 243
- Denominator
- 317
- Facility rate
- 76.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 373
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.844
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,189
- Predicted number of infections (B)
- 2.674
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.374
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 19
- Number of health care workers
- 35
- Rate of flu vaccination
- 54.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 350
- Unadjusted potentially preventable readmission rate
- 8.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.56
- Lower limit of the 95% confidence interval on the RSRR
- 6.79
- Upper limit of the 95% confidence interval on the RSRR
- 10.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 381
- Unadjusted potentially preventable readmission rate
- 3.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.65
- Lower limit of the 95% confidence interval on the RSRR
- 3.29
- Upper limit of the 95% confidence interval on the RSRR
- 6.12
- 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)
- 231
- Number of eligible stays
- 309
- Observed discharge to community rate
- 74.76
- Risk-standardized discharge to community rate
- 71.49
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.12
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.56
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 324
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 369
- Denominator
- 373
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 371
- Facility observed rate
- 3.8
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 36
- Rate of COVID-19 vaccination
- 86.1