About the Facility
- CMS Certification Number (CCN)
- 11T007
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2000 Palmyra Rd
- Phone Number
- (229) 434-2264
Facility Medical Condition Statistics
- All other conditions
- 38
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- -
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- -
- Stroke
- 69
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
- 129
- Predicted number of infections (B)
- 0.351
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 180
- Denominator
- 180
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 153
- Average observed change score
- 10.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.3
- Denominator
- 153
- Average observed change score
- 33.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 59
- Denominator
- 153
- Facility rate
- 38.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 91
- Denominator
- 153
- Facility rate
- 59.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 180
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 785
- Predicted number of infections (B)
- 0.405
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 50
- Number of health care workers
- 61
- Rate of flu vaccination
- 82.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 14
- Number of eligible stays
- 184
- Unadjusted potentially preventable readmission rate
- 7.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 6.88
- Upper limit of the 95% confidence interval on the RSRR
- 11.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 209
- Unadjusted potentially preventable readmission rate
- 3.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.67
- Lower limit of the 95% confidence interval on the RSRR
- 2.81
- Upper limit of the 95% confidence interval on the RSRR
- 7.59
- 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)
- 122
- Number of eligible stays
- 169
- Observed discharge to community rate
- 72.19
- Risk-standardized discharge to community rate
- 69.25
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.77
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 173
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 179
- Denominator
- 180
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 179
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 50
- Number of health care workers
- 56
- Rate of COVID-19 vaccination
- 89.3