About the Facility
- CMS Certification Number (CCN)
- 34T061
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
101 Manning Dr
- Phone Number
- (919) 984-5306
Facility Medical Condition Statistics
- All other conditions
- 111
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 31
- Hip or knee replacement, amputation or other bone or joint condition
- 71
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- 40
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 83
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.042
- SIR 95% confidence interval - upper limit
- 4.148
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 575
- Predicted number of infections (B)
- 1.189
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.841
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 397
- Denominator
- 397
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 346
- Average observed change score
- 10.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.6
- Denominator
- 347
- Average observed change score
- 26.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 132
- Denominator
- 347
- Facility rate
- 38.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 113
- Denominator
- 347
- Facility rate
- 32.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 397
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.047
- SIR 95% confidence interval - upper limit
- 0.934
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 11,260
- Predicted number of infections (B)
- 7.072
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.283
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 701
- Number of health care workers
- 717
- Rate of flu vaccination
- 97.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 323
- Unadjusted potentially preventable readmission rate
- 7.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.15
- Lower limit of the 95% confidence interval on the RSRR
- 6.36
- Upper limit of the 95% confidence interval on the RSRR
- 10.02
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 354
- Unadjusted potentially preventable readmission rate
- 2.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.74
- Lower limit of the 95% confidence interval on the RSRR
- 2.88
- Upper limit of the 95% confidence interval on the RSRR
- 4.94
- 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)
- 193
- Number of eligible stays
- 284
- Observed discharge to community rate
- 67.96
- Risk-standardized discharge to community rate
- 70.48
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.35
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.52
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.85
- Number of eligible episodes
- 295
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 397
- Denominator
- 397
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 397
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 224
- Number of health care workers
- 229
- Rate of COVID-19 vaccination
- 97.8