About the Facility
- CMS Certification Number (CCN)
- 25T152
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1350 East Woodrow Wilson
- Phone Number
- (601) 364-3365
Facility Medical Condition Statistics
- All other conditions
- 164
- Brain disease or condition (non-traumatic)
- 66
- Brain injury (traumatic)
- 53
- Hip or femur fracture
- 88
- Hip or knee replacement, amputation or other bone or joint condition
- 140
- Nervous system disorder (excluding stroke)
- 64
- Spinal cord disease or condition (non-traumatic)
- 73
- Spinal cord injury (traumatic)
- 22
- Stroke
- 225
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
- 488
- Predicted number of infections (B)
- 0.994
- 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
- 863
- Denominator
- 863
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.6
- Denominator
- 782
- Average observed change score
- 10.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.2
- Denominator
- 782
- Average observed change score
- 26.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 253
- Denominator
- 782
- Facility rate
- 32.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 311
- Denominator
- 782
- Facility rate
- 39.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 863
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.131
- SIR 95% confidence interval - upper limit
- 0.998
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 23,322
- Predicted number of infections (B)
- 9.669
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.414
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 787
- Number of health care workers
- 960
- Rate of flu vaccination
- 82.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 59
- Number of eligible stays
- 888
- Unadjusted potentially preventable readmission rate
- 6.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.30
- Lower limit of the 95% confidence interval on the RSRR
- 6.90
- 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
- 53
- Number of eligible stays
- 978
- Unadjusted potentially preventable readmission rate
- 5.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.30
- Lower limit of the 95% confidence interval on the RSRR
- 4.29
- Upper limit of the 95% confidence interval on the RSRR
- 6.82
- 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)
- 455
- Number of eligible stays
- 805
- Observed discharge to community rate
- 56.52
- Risk-standardized discharge to community rate
- 60.14
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.41
- 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
- 871
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 857
- Denominator
- 863
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 863
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 789
- Number of health care workers
- 793
- Rate of COVID-19 vaccination
- 99.5