About the Facility
- CMS Certification Number (CCN)
- 34T091
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1200 North Elm Street
- Phone Number
- (336) 832-7000
Facility Medical Condition Statistics
- All other conditions
- 123
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- 40
- Hip or femur fracture
- 35
- Hip or knee replacement, amputation or other bone or joint condition
- 77
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 276
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.174
- SIR 95% confidence interval - upper limit
- 3.420
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 709
- Predicted number of infections (B)
- 1.932
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.035
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 626
- Denominator
- 629
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.2
- Denominator
- 549
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.6
- Denominator
- 549
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 222
- Denominator
- 549
- Facility rate
- 40.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 225
- Denominator
- 549
- Facility rate
- 41.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 629
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.009
- SIR 95% confidence interval - upper limit
- 0.860
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 14,707
- Predicted number of infections (B)
- 5.732
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.174
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 236
- Number of health care workers
- 246
- Rate of flu vaccination
- 95.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 457
- Unadjusted potentially preventable readmission rate
- 5.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.97
- Lower limit of the 95% confidence interval on the RSRR
- 5.56
- Upper limit of the 95% confidence interval on the RSRR
- 8.51
- Comparative performance category
- Better than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 17
- Number of eligible stays
- 500
- Unadjusted potentially preventable readmission rate
- 3.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.92
- Lower limit of the 95% confidence interval on the RSRR
- 2.69
- Upper limit of the 95% confidence interval on the RSRR
- 5.33
- 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)
- 291
- Number of eligible stays
- 409
- Observed discharge to community rate
- 71.15
- Risk-standardized discharge to community rate
- 73.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.14
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.44
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 416
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 603
- Denominator
- 629
- Facility rate
- 95.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 626
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 403
- Number of health care workers
- 415
- Rate of COVID-19 vaccination
- 97.1