About the Facility
- CMS Certification Number (CCN)
- 11T076
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
2701 North Decatur Road
- Phone Number
- (404) 501-1000
Facility Medical Condition Statistics
- All other conditions
- 36
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 67
- Nervous system disorder (excluding stroke)
- 34
- Spinal cord disease or condition (non-traumatic)
- 44
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 113
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
- 353
- Predicted number of infections (B)
- 0.962
- 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
- 363
- Denominator
- 365
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 334
- Average observed change score
- 10.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.9
- Denominator
- 334
- Average observed change score
- 26.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 159
- Denominator
- 334
- Facility rate
- 47.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 124
- Denominator
- 334
- Facility rate
- 37.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 365
- 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
- 0.715
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,669
- Predicted number of infections (B)
- 4.192
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 48
- Number of health care workers
- 53
- Rate of flu vaccination
- 90.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 289
- Unadjusted potentially preventable readmission rate
- 6.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.24
- Lower limit of the 95% confidence interval on the RSRR
- 6.60
- Upper limit of the 95% confidence interval on the RSRR
- 10.43
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 320
- Unadjusted potentially preventable readmission rate
- 2.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.04
- Lower limit of the 95% confidence interval on the RSRR
- 2.82
- Upper limit of the 95% confidence interval on the RSRR
- 6.03
- 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)
- 162
- Number of eligible stays
- 259
- Observed discharge to community rate
- 62.55
- Risk-standardized discharge to community rate
- 62.76
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.58
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.71
- 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
- 266
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 346
- Denominator
- 365
- Facility rate
- 94.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 363
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 43
- Number of health care workers
- 45
- Rate of COVID-19 vaccination
- 95.6