About the Facility
- CMS Certification Number (CCN)
- 25T004
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
830 S Gloster Street
- Phone Number
- (662) 377-3780
Facility Medical Condition Statistics
- All other conditions
- 61
- Brain disease or condition (non-traumatic)
- 20
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 66
- Nervous system disorder (excluding stroke)
- 31
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 99
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
- 2.116
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 520
- Predicted number of infections (B)
- 1.416
- 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
- 362
- Denominator
- 362
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 318
- Average observed change score
- 13.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.4
- Denominator
- 318
- Average observed change score
- 36.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 224
- Denominator
- 318
- Facility rate
- 70.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 219
- Denominator
- 318
- Facility rate
- 68.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 362
- 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
- 1.083
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,779
- Predicted number of infections (B)
- 2.765
- 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
- 144
- Number of health care workers
- 204
- Rate of flu vaccination
- 70.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 476
- Unadjusted potentially preventable readmission rate
- 5.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.87
- Lower limit of the 95% confidence interval on the RSRR
- 6.26
- Upper limit of the 95% confidence interval on the RSRR
- 9.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 521
- Unadjusted potentially preventable readmission rate
- 3.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.48
- Lower limit of the 95% confidence interval on the RSRR
- 3.09
- Upper limit of the 95% confidence interval on the RSRR
- 6.26
- 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)
- 304
- Number of eligible stays
- 417
- Observed discharge to community rate
- 72.90
- Risk-standardized discharge to community rate
- 68.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.08
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 466
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 359
- Denominator
- 362
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 362
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 142
- Number of health care workers
- 155
- Rate of COVID-19 vaccination
- 91.6