About the Facility
- CMS Certification Number (CCN)
- 11T198
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
3000 Hospital Blvd.
- Phone Number
- (770) 751-2653
Facility Medical Condition Statistics
- All other conditions
- 44
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 49
- Hip or knee replacement, amputation or other bone or joint condition
- 40
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- 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
- 239
- Predicted number of infections (B)
- 0.535
- 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
- 252
- Denominator
- 252
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 208
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.4
- Denominator
- 208
- Average observed change score
- 33.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 103
- Denominator
- 208
- Facility rate
- 49.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 118
- Denominator
- 208
- Facility rate
- 56.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 252
- 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
- 1.991
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,659
- Predicted number of infections (B)
- 1.505
- 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
- 62
- Number of health care workers
- 75
- Rate of flu vaccination
- 82.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 312
- Unadjusted potentially preventable readmission rate
- 8.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.36
- Lower limit of the 95% confidence interval on the RSRR
- 7.42
- Upper limit of the 95% confidence interval on the RSRR
- 11.87
- 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
- 340
- Unadjusted potentially preventable readmission rate
- 3.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.19
- Lower limit of the 95% confidence interval on the RSRR
- 2.96
- Upper limit of the 95% confidence interval on the RSRR
- 5.95
- 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)
- 207
- Number of eligible stays
- 278
- Observed discharge to community rate
- 74.46
- Risk-standardized discharge to community rate
- 74.33
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.31
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.50
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 288
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 252
- Denominator
- 252
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 251
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 58
- Number of health care workers
- 60
- Rate of COVID-19 vaccination
- 96.7