About the Facility
- CMS Certification Number (CCN)
- 18T102
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1530 Lone Oak Road
- Phone Number
- (270) 444-2684
Facility Medical Condition Statistics
- All other conditions
- 61
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 31
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 49
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
- 125
- Predicted number of infections (B)
- 0.341
- 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
- 242
- Denominator
- 242
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 218
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.4
- Denominator
- 218
- Average observed change score
- 25.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 92
- Denominator
- 218
- Facility rate
- 42.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 79
- Denominator
- 218
- Facility rate
- 36.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 242
- 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
- 1.425
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,985
- Predicted number of infections (B)
- 2.103
- 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
- 108
- Number of health care workers
- 147
- Rate of flu vaccination
- 73.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 26
- Number of eligible stays
- 423
- Unadjusted potentially preventable readmission rate
- 6.15
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.39
- Lower limit of the 95% confidence interval on the RSRR
- 6.60
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 452
- Unadjusted potentially preventable readmission rate
- 2.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.56
- Lower limit of the 95% confidence interval on the RSRR
- 3.34
- Upper limit of the 95% confidence interval on the RSRR
- 6.53
- 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)
- 249
- Number of eligible stays
- 366
- Observed discharge to community rate
- 68.03
- Risk-standardized discharge to community rate
- 62.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.60
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 401
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 223
- Denominator
- 242
- Facility rate
- 92.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 241
- 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
- 164
- Number of health care workers
- 171
- Rate of COVID-19 vaccination
- 95.9