About the Facility
- CMS Certification Number (CCN)
- 25T078
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
Po Box 16389
- Phone Number
- (601) 288-3862
Facility Medical Condition Statistics
- All other conditions
- 34
- 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
- 26
- Hip or knee replacement, amputation or other bone or joint condition
- 43
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 81
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.415
- SIR 95% confidence interval - upper limit
- 4.437
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 675
- Predicted number of infections (B)
- 1.840
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.630
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 226
- Denominator
- 228
- Facility rate
- 99.1
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 198
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.8
- Denominator
- 198
- Average observed change score
- 30.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 105
- Denominator
- 198
- Facility rate
- 53.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 114
- Denominator
- 198
- Facility rate
- 57.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 228
- 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
- 1.002
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,796
- Predicted number of infections (B)
- 2.991
- 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
- 24
- Number of health care workers
- 53
- Rate of flu vaccination
- 45.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 264
- Unadjusted potentially preventable readmission rate
- 7.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.83
- Lower limit of the 95% confidence interval on the RSRR
- 7.04
- Upper limit of the 95% confidence interval on the RSRR
- 11.16
- 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
- 293
- Unadjusted potentially preventable readmission rate
- 4.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.86
- Lower limit of the 95% confidence interval on the RSRR
- 3.45
- Upper limit of the 95% confidence interval on the RSRR
- 6.75
- 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)
- 178
- Number of eligible stays
- 234
- Observed discharge to community rate
- 76.07
- Risk-standardized discharge to community rate
- 74.26
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.03
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.72
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 258
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 217
- Denominator
- 228
- Facility rate
- 95.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 227
- Facility observed rate
- 3.1
- Facility risk-adjusted rate
- 2.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 87
- Number of health care workers
- 96
- Rate of COVID-19 vaccination
- 90.6