About the Facility
- CMS Certification Number (CCN)
- 343026
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
1100 Blythe Boulevard
- Phone Number
- (704) 355-4370
Facility Medical Condition Statistics
- All other conditions
- 513
- Brain disease or condition (non-traumatic)
- 191
- Brain injury (traumatic)
- 110
- Hip or femur fracture
- 90
- Hip or knee replacement, amputation or other bone or joint condition
- 234
- Nervous system disorder (excluding stroke)
- 66
- Spinal cord disease or condition (non-traumatic)
- 155
- Spinal cord injury (traumatic)
- 45
- Stroke
- 514
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.152
- SIR 95% confidence interval - upper limit
- 3.001
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,266
- Predicted number of infections (B)
- 2.202
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.908
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,896
- Denominator
- 1,896
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 1,611
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.0
- Denominator
- 1,611
- Average observed change score
- 28.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 779
- Denominator
- 1,611
- Facility rate
- 48.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 757
- Denominator
- 1,611
- Facility rate
- 47.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,896
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.124
- SIR 95% confidence interval - upper limit
- 0.637
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 42,423
- Predicted number of infections (B)
- 19.602
- Number of infections reported (A)
- 6
- SIR (A/B)
- 0.306
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 725
- Number of health care workers
- 809
- Rate of flu vaccination
- 89.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 154
- Number of eligible stays
- 1,853
- Unadjusted potentially preventable readmission rate
- 8.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.19
- Lower limit of the 95% confidence interval on the RSRR
- 7.14
- Upper limit of the 95% confidence interval on the RSRR
- 9.39
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 68
- Number of eligible stays
- 1,994
- Unadjusted potentially preventable readmission rate
- 3.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.55
- Lower limit of the 95% confidence interval on the RSRR
- 2.90
- Upper limit of the 95% confidence interval on the RSRR
- 4.28
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 1,118
- Number of eligible stays
- 1,617
- Observed discharge to community rate
- 69.14
- Risk-standardized discharge to community rate
- 71.63
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.04
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 1,691
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,896
- Denominator
- 1,896
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 1,895
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 679
- Number of health care workers
- 744
- Rate of COVID-19 vaccination
- 91.3