About the Facility
- CMS Certification Number (CCN)
- 18T040
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
220 Abraham Flexner Way
- Phone Number
- (502) 587-4413
Facility Medical Condition Statistics
- All other conditions
- 323
- Brain disease or condition (non-traumatic)
- 92
- Brain injury (traumatic)
- 90
- Hip or femur fracture
- 34
- Hip or knee replacement, amputation or other bone or joint condition
- 134
- Nervous system disorder (excluding stroke)
- 97
- Spinal cord disease or condition (non-traumatic)
- 71
- Spinal cord injury (traumatic)
- 35
- Stroke
- 348
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
- 0.931
- Comparative performance category
- Better than the National Benchmark
- Catheter days
- 1,182
- Predicted number of infections (B)
- 3.218
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,140
- Denominator
- 1,140
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.4
- Denominator
- 978
- Average observed change score
- 11.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.4
- Denominator
- 979
- Average observed change score
- 29.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 425
- Denominator
- 979
- Facility rate
- 43.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 507
- Denominator
- 979
- Facility rate
- 51.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,140
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.275
- SIR 95% confidence interval - upper limit
- 1.124
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 27,913
- Predicted number of infections (B)
- 13.511
- Number of infections reported (A)
- 8
- SIR (A/B)
- 0.592
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,844
- Number of health care workers
- 2,968
- Rate of flu vaccination
- 62.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 83
- Number of eligible stays
- 819
- Unadjusted potentially preventable readmission rate
- 10.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.70
- Lower limit of the 95% confidence interval on the RSRR
- 8.17
- Upper limit of the 95% confidence interval on the RSRR
- 11.24
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 52
- Number of eligible stays
- 943
- Unadjusted potentially preventable readmission rate
- 5.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.28
- Lower limit of the 95% confidence interval on the RSRR
- 4.12
- Upper limit of the 95% confidence interval on the RSRR
- 6.72
- 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)
- 462
- Number of eligible stays
- 740
- Observed discharge to community rate
- 62.43
- Risk-standardized discharge to community rate
- 64.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.35
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 830
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,121
- Denominator
- 1,140
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 1,139
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 209
- Number of health care workers
- 511
- Rate of COVID-19 vaccination
- 40.9