About the Facility
- CMS Certification Number (CCN)
- 253027
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
4500 13th Street, Suite 900
- Phone Number
- (228) 822-6965
Facility Medical Condition Statistics
- All other conditions
- 187
- Brain disease or condition (non-traumatic)
- 179
- Brain injury (traumatic)
- 36
- Hip or femur fracture
- 145
- Hip or knee replacement, amputation or other bone or joint condition
- 148
- Nervous system disorder (excluding stroke)
- 347
- 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
- 163
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
- 2.111
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 983
- Predicted number of infections (B)
- 1.419
- 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
- 1,115
- Denominator
- 1,115
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.0
- Denominator
- 998
- Average observed change score
- 16.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.1
- Denominator
- 998
- Average observed change score
- 39.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 796
- Denominator
- 998
- Facility rate
- 79.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 810
- Denominator
- 998
- Facility rate
- 81.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,115
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.054
- SIR 95% confidence interval - upper limit
- 1.071
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 15,560
- Predicted number of infections (B)
- 6.167
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.324
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 154
- Number of health care workers
- 201
- Rate of flu vaccination
- 76.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 190
- Number of eligible stays
- 1,508
- Unadjusted potentially preventable readmission rate
- 12.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.25
- Lower limit of the 95% confidence interval on the RSRR
- 9.13
- Upper limit of the 95% confidence interval on the RSRR
- 11.48
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 66
- Number of eligible stays
- 1,620
- Unadjusted potentially preventable readmission rate
- 4.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.80
- Lower limit of the 95% confidence interval on the RSRR
- 3.10
- Upper limit of the 95% confidence interval on the RSRR
- 4.64
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 873
- Number of eligible stays
- 1,294
- Observed discharge to community rate
- 67.47
- Risk-standardized discharge to community rate
- 71.66
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.02
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.29
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 1,579
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,106
- Denominator
- 1,115
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 1,107
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 173
- Number of health care workers
- 211
- Rate of COVID-19 vaccination
- 82.0