About the Facility
- CMS Certification Number (CCN)
- 11T024
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
5353 Reynolds St.
5 South - Rehab Unit
- Phone Number
- (615) 500-7913
Facility Medical Condition Statistics
- All other conditions
- 93
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 20
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- 30
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 51
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
- 546
- Predicted number of infections (B)
- 0.788
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 254
- Denominator
- 254
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 220
- Average observed change score
- 13.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.9
- Denominator
- 220
- Average observed change score
- 29.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 122
- Denominator
- 220
- Facility rate
- 55.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 113
- Denominator
- 220
- Facility rate
- 51.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 254
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.021
- SIR 95% confidence interval - upper limit
- 2.042
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,539
- Predicted number of infections (B)
- 2.415
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.414
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 490
- Number of health care workers
- 710
- Rate of flu vaccination
- 69.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 412
- Unadjusted potentially preventable readmission rate
- 10.68
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.56
- Lower limit of the 95% confidence interval on the RSRR
- 7.08
- Upper limit of the 95% confidence interval on the RSRR
- 10.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 466
- Unadjusted potentially preventable readmission rate
- 4.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.45
- Lower limit of the 95% confidence interval on the RSRR
- 3.30
- Upper limit of the 95% confidence interval on the RSRR
- 5.97
- 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)
- 239
- Number of eligible stays
- 361
- Observed discharge to community rate
- 66.20
- Risk-standardized discharge to community rate
- 68.19
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.42
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.52
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 388
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 252
- Denominator
- 254
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 252
- Facility observed rate
- 3.2
- Facility risk-adjusted rate
- 3.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 967
- Number of health care workers
- 1,003
- Rate of COVID-19 vaccination
- 96.4