About the Facility
- CMS Certification Number (CCN)
- 34T069
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3000 New Bern Ave.
- Phone Number
- (919) 350-8864
Facility Medical Condition Statistics
- All other conditions
- 184
- Brain disease or condition (non-traumatic)
- 65
- Brain injury (traumatic)
- 69
- Hip or femur fracture
- 95
- Hip or knee replacement, amputation or other bone or joint condition
- 197
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- 59
- Spinal cord injury (traumatic)
- 18
- Stroke
- 278
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
- 0.914
- Comparative performance category
- Better than the National Benchmark
- Catheter days
- 1,203
- Predicted number of infections (B)
- 3.279
- 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
- 977
- Denominator
- 977
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.6
- Denominator
- 898
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.9
- Denominator
- 898
- Average observed change score
- 30.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 371
- Denominator
- 898
- Facility rate
- 41.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 477
- Denominator
- 898
- Facility rate
- 53.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 977
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.027
- SIR 95% confidence interval - upper limit
- 0.524
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 26,381
- Predicted number of infections (B)
- 12.619
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.158
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 413
- Number of health care workers
- 436
- Rate of flu vaccination
- 94.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 66
- Number of eligible stays
- 1,252
- Unadjusted potentially preventable readmission rate
- 5.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.87
- Lower limit of the 95% confidence interval on the RSRR
- 5.76
- Upper limit of the 95% confidence interval on the RSRR
- 8.02
- Comparative performance category
- Better than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 36
- Number of eligible stays
- 1,353
- Unadjusted potentially preventable readmission rate
- 2.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.25
- Lower limit of the 95% confidence interval on the RSRR
- 2.55
- Upper limit of the 95% confidence interval on the RSRR
- 3.99
- 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)
- 755
- Number of eligible stays
- 1,090
- Observed discharge to community rate
- 69.27
- Risk-standardized discharge to community rate
- 70.56
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.73
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.07
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 1,240
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 976
- Denominator
- 977
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 21
- Denominator
- 977
- Facility observed rate
- 2.1
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 390
- Number of health care workers
- 429
- Rate of COVID-19 vaccination
- 90.9