About the Facility
- CMS Certification Number (CCN)
- 25T084
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
54 Seargent Prentiss Drive
- Phone Number
- (601) 443-2570
Facility Medical Condition Statistics
- All other conditions
- 40
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 14
- Nervous system disorder (excluding stroke)
- 24
- Spinal cord disease or condition (non-traumatic)
- -
- Spinal cord injury (traumatic)
- -
- Stroke
- 19
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
- 338
- Predicted number of infections (B)
- 0.488
- 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
- 119
- Denominator
- 119
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 110
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.8
- Denominator
- 110
- Average observed change score
- 28.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 70
- Denominator
- 110
- Facility rate
- 63.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 52
- Denominator
- 110
- Facility rate
- 47.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 119
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,380
- Predicted number of infections (B)
- 0.896
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 7
- Number of health care workers
- 18
- Rate of flu vaccination
- 38.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 209
- Unadjusted potentially preventable readmission rate
- 10.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.18
- Lower limit of the 95% confidence interval on the RSRR
- 7.19
- Upper limit of the 95% confidence interval on the RSRR
- 11.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 228
- Unadjusted potentially preventable readmission rate
- 3.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.36
- Lower limit of the 95% confidence interval on the RSRR
- 2.97
- Upper limit of the 95% confidence interval on the RSRR
- 6.83
- 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)
- 99
- Number of eligible stays
- 167
- Observed discharge to community rate
- 59.28
- Risk-standardized discharge to community rate
- 60.77
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.20
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.76
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 196
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 115
- Denominator
- 119
- Facility rate
- 96.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 119
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 17
- Number of health care workers
- 20
- Rate of COVID-19 vaccination
- 85.0