About the Facility
- CMS Certification Number (CCN)
- 11T143
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3950 Austell Road
3950 Austell Rd
- Phone Number
- (470) 732-4032
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 70
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
- 134
- Predicted number of infections (B)
- 0.366
- 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
- 176
- Denominator
- 177
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 146
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.9
- Denominator
- 146
- Average observed change score
- 26.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 57
- Denominator
- 146
- Facility rate
- 39.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 62
- Denominator
- 146
- Facility rate
- 42.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 177
- 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
- 2.329
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,339
- Predicted number of infections (B)
- 1.287
- 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
- 39
- Number of health care workers
- 47
- Rate of flu vaccination
- 83.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 17
- Number of eligible stays
- 169
- Unadjusted potentially preventable readmission rate
- 10.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.23
- Lower limit of the 95% confidence interval on the RSRR
- 7.17
- Upper limit of the 95% confidence interval on the RSRR
- 11.75
- 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
- 207
- Unadjusted potentially preventable readmission rate
- 7.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.03
- Lower limit of the 95% confidence interval on the RSRR
- 3.93
- Upper limit of the 95% confidence interval on the RSRR
- 8.52
- 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)
- 110
- Number of eligible stays
- 167
- Observed discharge to community rate
- 65.87
- Risk-standardized discharge to community rate
- 65.72
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.19
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.03
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 173
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 177
- Denominator
- 177
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 176
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 37
- Rate of COVID-19 vaccination
- 94.6