About the Facility
- CMS Certification Number (CCN)
- 11T177
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
3651 Wheeler Road
- Phone Number
- (706) 651-6129
Facility Medical Condition Statistics
- All other conditions
- 141
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 72
- Hip or knee replacement, amputation or other bone or joint condition
- 86
- Nervous system disorder (excluding stroke)
- 25
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 91
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.048
- SIR 95% confidence interval - upper limit
- 4.729
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 723
- Predicted number of infections (B)
- 1.043
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.959
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 433
- Denominator
- 434
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 377
- Average observed change score
- 15.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.7
- Denominator
- 377
- Average observed change score
- 36.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 295
- Denominator
- 377
- Facility rate
- 78.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 287
- Denominator
- 377
- Facility rate
- 76.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 434
- 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
- 0.714
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 7,890
- Predicted number of infections (B)
- 4.199
- 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
- 30
- Number of health care workers
- 52
- Rate of flu vaccination
- 57.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 26
- Number of eligible stays
- 345
- Unadjusted potentially preventable readmission rate
- 7.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.96
- Lower limit of the 95% confidence interval on the RSRR
- 6.41
- Upper limit of the 95% confidence interval on the RSRR
- 9.76
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 19
- Number of eligible stays
- 387
- Unadjusted potentially preventable readmission rate
- 4.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.52
- Lower limit of the 95% confidence interval on the RSRR
- 3.34
- Upper limit of the 95% confidence interval on the RSRR
- 6.20
- 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)
- 218
- Number of eligible stays
- 305
- Observed discharge to community rate
- 71.48
- Risk-standardized discharge to community rate
- 73.95
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.46
- 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
- 356
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 434
- Denominator
- 434
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 434
- Facility observed rate
- 3.7
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 52
- Rate of COVID-19 vaccination
- 73.1