About the Facility
- CMS Certification Number (CCN)
- 11T164
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
350 Hospital Drive
- Phone Number
- (478) 765-7000
Facility Medical Condition Statistics
- All other conditions
- 112
- Brain disease or condition (non-traumatic)
- 27
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 41
- Hip or knee replacement, amputation or other bone or joint condition
- 25
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- -
- Stroke
- 76
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
- 240
- Predicted number of infections (B)
- 0.654
- 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
- 311
- Denominator
- 311
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 266
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.8
- Denominator
- 266
- Average observed change score
- 34.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 138
- Denominator
- 266
- Facility rate
- 51.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 180
- Denominator
- 266
- Facility rate
- 67.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 311
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.122
- SIR 95% confidence interval - upper limit
- 2.400
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,336
- Predicted number of infections (B)
- 2.753
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.726
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 29
- Number of health care workers
- 41
- Rate of flu vaccination
- 70.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 46
- Number of eligible stays
- 441
- Unadjusted potentially preventable readmission rate
- 10.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.34
- Lower limit of the 95% confidence interval on the RSRR
- 7.61
- Upper limit of the 95% confidence interval on the RSRR
- 11.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 475
- Unadjusted potentially preventable readmission rate
- 2.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.59
- Lower limit of the 95% confidence interval on the RSRR
- 2.55
- Upper limit of the 95% confidence interval on the RSRR
- 5.37
- 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)
- 257
- Number of eligible stays
- 375
- Observed discharge to community rate
- 68.53
- Risk-standardized discharge to community rate
- 67.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.62
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 398
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 310
- Denominator
- 311
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 310
- 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
- 38
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 100.0