About the Facility
- CMS Certification Number (CCN)
- 343027
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2475 Hillcrest Center Circle
- Phone Number
- (336) 754-3500
Facility Medical Condition Statistics
- All other conditions
- 277
- Brain disease or condition (non-traumatic)
- 83
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 78
- Hip or knee replacement, amputation or other bone or joint condition
- 129
- Nervous system disorder (excluding stroke)
- 120
- Spinal cord disease or condition (non-traumatic)
- 50
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 320
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
- 1.459
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,443
- Predicted number of infections (B)
- 2.053
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,066
- Denominator
- 1,066
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.2
- Denominator
- 943
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.0
- Denominator
- 943
- Average observed change score
- 36.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 721
- Denominator
- 943
- Facility rate
- 76.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 739
- Denominator
- 943
- Facility rate
- 78.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,066
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.426
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 20,002
- Predicted number of infections (B)
- 7.026
- 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
- 232
- Number of health care workers
- 270
- Rate of flu vaccination
- 85.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 92
- Number of eligible stays
- 982
- Unadjusted potentially preventable readmission rate
- 9.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.08
- Lower limit of the 95% confidence interval on the RSRR
- 7.63
- Upper limit of the 95% confidence interval on the RSRR
- 10.60
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 80
- Number of eligible stays
- 1,113
- Unadjusted potentially preventable readmission rate
- 7.19
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.82
- Lower limit of the 95% confidence interval on the RSRR
- 5.66
- Upper limit of the 95% confidence interval on the RSRR
- 8.13
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 630
- Number of eligible stays
- 922
- Observed discharge to community rate
- 68.33
- Risk-standardized discharge to community rate
- 69.78
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.76
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 1,017
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,064
- Denominator
- 1,066
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 1,066
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 214
- Number of health care workers
- 250
- Rate of COVID-19 vaccination
- 85.6