About the Facility
- CMS Certification Number (CCN)
- 34T047
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
Medical Center Blvd
- Phone Number
- (336) 713-8328
Facility Medical Condition Statistics
- All other conditions
- 73
- Brain disease or condition (non-traumatic)
- 33
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 32
- Hip or knee replacement, amputation or other bone or joint condition
- 66
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 46
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 121
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.902
- SIR 95% confidence interval - upper limit
- 4.631
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,303
- Predicted number of infections (B)
- 2.695
- Number of infections reported (A)
- 6
- SIR (A/B)
- 2.226
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 405
- Denominator
- 405
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.9
- Denominator
- 366
- Average observed change score
- 11.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.9
- Denominator
- 366
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 172
- Denominator
- 366
- Facility rate
- 47.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 181
- Denominator
- 366
- Facility rate
- 49.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 405
- 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
- 0.797
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,800
- Predicted number of infections (B)
- 3.760
- 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
- 104
- Number of health care workers
- 108
- Rate of flu vaccination
- 96.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 271
- Unadjusted potentially preventable readmission rate
- 9.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.04
- Lower limit of the 95% confidence interval on the RSRR
- 7.87
- Upper limit of the 95% confidence interval on the RSRR
- 12.76
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 294
- Unadjusted potentially preventable readmission rate
- 2.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.28
- Lower limit of the 95% confidence interval on the RSRR
- 2.76
- Upper limit of the 95% confidence interval on the RSRR
- 6.86
- 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)
- 178
- Number of eligible stays
- 254
- Observed discharge to community rate
- 70.08
- Risk-standardized discharge to community rate
- 67.04
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.24
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.58
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 275
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 396
- Denominator
- 405
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 404
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 89
- Number of health care workers
- 94
- Rate of COVID-19 vaccination
- 94.7