About the Facility
- CMS Certification Number (CCN)
- 01T139
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2010 Brookwood Medical Ctr. Dr
- Phone Number
- (205) 877-1600
Facility Medical Condition Statistics
- All other conditions
- 156
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 36
- Hip or knee replacement, amputation or other bone or joint condition
- 76
- Nervous system disorder (excluding stroke)
- 92
- Spinal cord disease or condition (non-traumatic)
- 32
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 145
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.549
- SIR 95% confidence interval - upper limit
- 5.874
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 741
- Predicted number of infections (B)
- 1.390
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.158
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 581
- Denominator
- 581
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.4
- Denominator
- 520
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.2
- Denominator
- 520
- Average observed change score
- 28.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 301
- Denominator
- 520
- Facility rate
- 57.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 232
- Denominator
- 520
- Facility rate
- 44.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 581
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.139
- SIR 95% confidence interval - upper limit
- 1.490
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,067
- Predicted number of infections (B)
- 5.480
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.547
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 770
- Number of health care workers
- 867
- Rate of flu vaccination
- 88.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 46
- Number of eligible stays
- 514
- Unadjusted potentially preventable readmission rate
- 8.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.11
- Lower limit of the 95% confidence interval on the RSRR
- 6.84
- Upper limit of the 95% confidence interval on the RSRR
- 9.72
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 20
- Number of eligible stays
- 580
- Unadjusted potentially preventable readmission rate
- 3.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.76
- Lower limit of the 95% confidence interval on the RSRR
- 2.89
- Upper limit of the 95% confidence interval on the RSRR
- 5.11
- 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)
- 303
- Number of eligible stays
- 463
- Observed discharge to community rate
- 65.44
- Risk-standardized discharge to community rate
- 67.83
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.56
- 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
- 495
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 562
- Denominator
- 581
- Facility rate
- 96.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 578
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,370
- Number of health care workers
- 1,487
- Rate of COVID-19 vaccination
- 92.1