About the Facility
- CMS Certification Number (CCN)
- 11T192
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2160 Fountain Drive
- Phone Number
- (770) 985-3885
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 16
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 54
- Hip or knee replacement, amputation or other bone or joint condition
- 34
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- -
- Stroke
- 74
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
- 205
- Predicted number of infections (B)
- 0.523
- 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
- 262
- Denominator
- 262
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.7
- Denominator
- 237
- Average observed change score
- 21.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 42.7
- Denominator
- 237
- Average observed change score
- 47.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 228
- Denominator
- 237
- Facility rate
- 96.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 220
- Denominator
- 237
- Facility rate
- 92.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 262
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.550
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,941
- Predicted number of infections (B)
- 1.933
- 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
- 47
- Number of health care workers
- 67
- Rate of flu vaccination
- 70.1
- 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
- 243
- Unadjusted potentially preventable readmission rate
- 7.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.52
- Lower limit of the 95% confidence interval on the RSRR
- 6.55
- Upper limit of the 95% confidence interval on the RSRR
- 10.81
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 274
- Unadjusted potentially preventable readmission rate
- 5.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.85
- Lower limit of the 95% confidence interval on the RSRR
- 3.33
- Upper limit of the 95% confidence interval on the RSRR
- 7.05
- 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)
- 158
- Number of eligible stays
- 221
- Observed discharge to community rate
- 71.49
- Risk-standardized discharge to community rate
- 74.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.31
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.04
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 235
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 262
- Denominator
- 262
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 261
- 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
- 42
- Number of health care workers
- 42
- Rate of COVID-19 vaccination
- 100.0