About the Facility
- CMS Certification Number (CCN)
- 01T114
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
995 9th Avenue Southwest
- Phone Number
- (205) 481-7287
Facility Medical Condition Statistics
- All other conditions
- 65
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 38
- Hip or knee replacement, amputation or other bone or joint condition
- 21
- Nervous system disorder (excluding stroke)
- 11
- 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
- 33
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.048
- SIR 95% confidence interval - upper limit
- 4.765
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 584
- Predicted number of infections (B)
- 1.035
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.966
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 185
- Denominator
- 185
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.3
- Denominator
- 166
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 21.3
- Denominator
- 166
- Average observed change score
- 22.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 58
- Denominator
- 166
- Facility rate
- 34.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 37
- Denominator
- 166
- Facility rate
- 22.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 185
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.273
- SIR 95% confidence interval - upper limit
- 5.374
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,109
- Predicted number of infections (B)
- 1.230
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.627
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 75
- Number of health care workers
- 92
- Rate of flu vaccination
- 81.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 10
- Number of eligible stays
- 100
- Unadjusted potentially preventable readmission rate
- 10.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.81
- Lower limit of the 95% confidence interval on the RSRR
- 7.02
- Upper limit of the 95% confidence interval on the RSRR
- 11.08
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 4
- Number of eligible stays
- 107
- Unadjusted potentially preventable readmission rate
- 3.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.68
- Lower limit of the 95% confidence interval on the RSRR
- 3.00
- Upper limit of the 95% confidence interval on the RSRR
- 7.40
- 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)
- 56
- Number of eligible stays
- 76
- Observed discharge to community rate
- 73.68
- Risk-standardized discharge to community rate
- 69.63
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.16
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.26
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 87
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 182
- Denominator
- 185
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 185
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,534
- Number of health care workers
- 1,728
- Rate of COVID-19 vaccination
- 88.8