About the Facility
- CMS Certification Number (CCN)
- 11T029
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
743 Spring Street
- Phone Number
- (770) 531-6205
Facility Medical Condition Statistics
- All other conditions
- 66
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 101
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.212
- SIR 95% confidence interval - upper limit
- 4.182
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 580
- Predicted number of infections (B)
- 1.580
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.266
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 367
- Denominator
- 367
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.2
- Denominator
- 325
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 21.9
- Denominator
- 325
- Average observed change score
- 23.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 82
- Denominator
- 325
- Facility rate
- 25.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 99
- Denominator
- 325
- Facility rate
- 30.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 367
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.436
- SIR 95% confidence interval - upper limit
- 3.309
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,913
- Predicted number of infections (B)
- 2.916
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.372
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 139
- Number of health care workers
- 160
- Rate of flu vaccination
- 86.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 374
- Unadjusted potentially preventable readmission rate
- 5.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.89
- Lower limit of the 95% confidence interval on the RSRR
- 6.27
- Upper limit of the 95% confidence interval on the RSRR
- 9.86
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 413
- Unadjusted potentially preventable readmission rate
- 5.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.86
- Lower limit of the 95% confidence interval on the RSRR
- 3.47
- Upper limit of the 95% confidence interval on the RSRR
- 6.41
- 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)
- 237
- Number of eligible stays
- 324
- Observed discharge to community rate
- 73.15
- Risk-standardized discharge to community rate
- 76.64
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 81.06
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 362
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 364
- Denominator
- 367
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 25
- Denominator
- 367
- Facility observed rate
- 6.8
- Facility risk-adjusted rate
- 6.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 119
- Number of health care workers
- 142
- Rate of COVID-19 vaccination
- 83.8