About the Facility
- CMS Certification Number (CCN)
- 18T044
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
911 Bypass Rd
- Phone Number
- (606) 218-3500
Facility Medical Condition Statistics
- All other conditions
- 147
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 105
- Hip or knee replacement, amputation or other bone or joint condition
- 54
- 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
- 72
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
- 411
- Predicted number of infections (B)
- 0.592
- 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
- 405
- Denominator
- 405
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 7.3
- Denominator
- 337
- Average observed change score
- 9.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 19.3
- Denominator
- 337
- Average observed change score
- 21.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 63
- Denominator
- 337
- Facility rate
- 18.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 70
- Denominator
- 337
- Facility rate
- 20.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 404
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.613
- SIR 95% confidence interval - upper limit
- 4.654
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,766
- Predicted number of infections (B)
- 2.073
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.929
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 797
- Number of health care workers
- 858
- Rate of flu vaccination
- 92.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 36
- Number of eligible stays
- 367
- Unadjusted potentially preventable readmission rate
- 9.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.29
- Lower limit of the 95% confidence interval on the RSRR
- 7.56
- Upper limit of the 95% confidence interval on the RSRR
- 11.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 413
- Unadjusted potentially preventable readmission rate
- 5.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.19
- Lower limit of the 95% confidence interval on the RSRR
- 3.84
- Upper limit of the 95% confidence interval on the RSRR
- 6.77
- 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)
- 210
- Number of eligible stays
- 338
- Observed discharge to community rate
- 62.13
- Risk-standardized discharge to community rate
- 63.27
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.39
- 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
- 334
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 253
- Denominator
- 405
- Facility rate
- 62.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 405
- Facility observed rate
- 3.5
- Facility risk-adjusted rate
- 3.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 568
- Number of health care workers
- 594
- Rate of COVID-19 vaccination
- 95.6