About the Facility
- CMS Certification Number (CCN)
- 11T035
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
677 Church Street
- Phone Number
- (770) 793-6696
Facility Medical Condition Statistics
- All other conditions
- 15
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 31
- Nervous system disorder (excluding stroke)
- 21
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- -
- Stroke
- 138
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
- 208
- Predicted number of infections (B)
- 0.472
- 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
- 274
- Denominator
- 274
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.4
- Denominator
- 237
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.3
- Denominator
- 237
- Average observed change score
- 30.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 161
- Denominator
- 237
- Facility rate
- 67.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 147
- Denominator
- 237
- Facility rate
- 62.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 274
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.156
- SIR 95% confidence interval - upper limit
- 3.078
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,997
- Predicted number of infections (B)
- 2.147
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.932
- 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
- 58
- Rate of flu vaccination
- 86.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 294
- Unadjusted potentially preventable readmission rate
- 6.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.31
- Lower limit of the 95% confidence interval on the RSRR
- 6.65
- Upper limit of the 95% confidence interval on the RSRR
- 10.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 330
- Unadjusted potentially preventable readmission rate
- 4.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.69
- Lower limit of the 95% confidence interval on the RSRR
- 3.49
- Upper limit of the 95% confidence interval on the RSRR
- 6.77
- 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)
- 193
- Number of eligible stays
- 268
- Observed discharge to community rate
- 72.01
- Risk-standardized discharge to community rate
- 73.03
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.70
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 283
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 274
- Denominator
- 274
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 274
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 49
- Number of health care workers
- 49
- Rate of COVID-19 vaccination
- 100.0