About the Facility
- CMS Certification Number (CCN)
- 113034
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1165 Sanders Road
- Phone Number
- (470) 533-4200
Facility Medical Condition Statistics
- All other conditions
- 30
- Brain disease or condition (non-traumatic)
- 308
- Brain injury (traumatic)
- 117
- Hip or femur fracture
- 176
- Hip or knee replacement, amputation or other bone or joint condition
- 109
- Nervous system disorder (excluding stroke)
- 200
- Spinal cord disease or condition (non-traumatic)
- 45
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 173
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.023
- SIR 95% confidence interval - upper limit
- 2.224
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,431
- Predicted number of infections (B)
- 2.218
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.451
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,146
- Denominator
- 1,146
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,011
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.2
- Denominator
- 1,011
- Average observed change score
- 33.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 722
- Denominator
- 1,011
- Facility rate
- 71.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 742
- Denominator
- 1,011
- Facility rate
- 73.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,146
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.172
- SIR 95% confidence interval - upper limit
- 1.306
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,643
- Predicted number of infections (B)
- 7.389
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.541
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 226
- Number of health care workers
- 288
- Rate of flu vaccination
- 78.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 73
- Number of eligible stays
- 862
- Unadjusted potentially preventable readmission rate
- 8.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.04
- Lower limit of the 95% confidence interval on the RSRR
- 7.58
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 42
- Number of eligible stays
- 943
- Unadjusted potentially preventable readmission rate
- 4.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.81
- Lower limit of the 95% confidence interval on the RSRR
- 3.74
- Upper limit of the 95% confidence interval on the RSRR
- 6.07
- 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)
- 638
- Number of eligible stays
- 881
- Observed discharge to community rate
- 72.42
- Risk-standardized discharge to community rate
- 72.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.04
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.80
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 884
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,131
- Denominator
- 1,146
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 1,145
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 217
- Number of health care workers
- 245
- Rate of COVID-19 vaccination
- 88.6