About the Facility
- CMS Certification Number (CCN)
- 11T252
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3620 Howell Ferry Road
- Phone Number
- (678) 312-1000
Facility Medical Condition Statistics
- All other conditions
- 44
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 44
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 59
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
- 279
- Predicted number of infections (B)
- 0.569
- 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
- 250
- Denominator
- 250
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.1
- Denominator
- 208
- Average observed change score
- 9.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.7
- Denominator
- 208
- Average observed change score
- 28.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 66
- Denominator
- 208
- Facility rate
- 31.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 84
- Denominator
- 208
- Facility rate
- 40.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 250
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.033
- SIR 95% confidence interval - upper limit
- 3.261
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,756
- Predicted number of infections (B)
- 1.512
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.661
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 676
- Number of health care workers
- 795
- Rate of flu vaccination
- 85.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 127
- Unadjusted potentially preventable readmission rate
- 8.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.77
- Lower limit of the 95% confidence interval on the RSRR
- 6.60
- Upper limit of the 95% confidence interval on the RSRR
- 11.38
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 143
- Unadjusted potentially preventable readmission rate
- 3.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.46
- Lower limit of the 95% confidence interval on the RSRR
- 2.76
- Upper limit of the 95% confidence interval on the RSRR
- 6.69
- 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)
- 82
- Number of eligible stays
- 133
- Observed discharge to community rate
- 61.65
- Risk-standardized discharge to community rate
- 65.66
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.17
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.70
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 127
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 248
- Denominator
- 250
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 250
- 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
- 5,787
- Number of health care workers
- 5,968
- Rate of COVID-19 vaccination
- 97.0