About the Facility
- CMS Certification Number (CCN)
- 25T141
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
7601 Southcrest Parkway
- Phone Number
- (662) 772-2150
Facility Medical Condition Statistics
- All other conditions
- 106
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 90
- Hip or knee replacement, amputation or other bone or joint condition
- 37
- Nervous system disorder (excluding stroke)
- 15
- 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
- 88
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
- 236
- Predicted number of infections (B)
- 0.342
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 384
- Denominator
- 384
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 341
- Average observed change score
- 12.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 341
- Average observed change score
- 32.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 184
- Denominator
- 341
- Facility rate
- 54.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 173
- Denominator
- 341
- Facility rate
- 50.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 384
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.183
- SIR 95% confidence interval - upper limit
- 3.603
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,646
- Predicted number of infections (B)
- 1.834
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.091
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 601
- Number of health care workers
- 625
- Rate of flu vaccination
- 96.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 34
- Number of eligible stays
- 472
- Unadjusted potentially preventable readmission rate
- 7.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.50
- Lower limit of the 95% confidence interval on the RSRR
- 7.00
- Upper limit of the 95% confidence interval on the RSRR
- 10.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 536
- Unadjusted potentially preventable readmission rate
- 5.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.21
- Lower limit of the 95% confidence interval on the RSRR
- 4.45
- Upper limit of the 95% confidence interval on the RSRR
- 7.70
- 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)
- 322
- Number of eligible stays
- 443
- Observed discharge to community rate
- 72.69
- Risk-standardized discharge to community rate
- 68.90
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.46
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 480
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 382
- Denominator
- 384
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 382
- 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
- 595
- Number of health care workers
- 626
- Rate of COVID-19 vaccination
- 95.0