About the Facility
- CMS Certification Number (CCN)
- 34T098
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
10628 Park Road
- Phone Number
- (704) 355-4602
Facility Medical Condition Statistics
- All other conditions
- 128
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 48
- Hip or knee replacement, amputation or other bone or joint condition
- 60
- Nervous system disorder (excluding stroke)
- 20
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 141
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 394
- Predicted number of infections (B)
- 0.803
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 503
- Denominator
- 503
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.7
- Denominator
- 464
- Average observed change score
- 11.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.2
- Denominator
- 464
- Average observed change score
- 28.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 197
- Denominator
- 464
- Facility rate
- 42.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 207
- Denominator
- 464
- Facility rate
- 44.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 503
- 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
- 0.731
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 9,879
- Predicted number of infections (B)
- 4.096
- 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
- 56
- Number of health care workers
- 60
- Rate of flu vaccination
- 93.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 53
- Number of eligible stays
- 566
- Unadjusted potentially preventable readmission rate
- 9.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.34
- Lower limit of the 95% confidence interval on the RSRR
- 7.76
- Upper limit of the 95% confidence interval on the RSRR
- 11.29
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 611
- Unadjusted potentially preventable readmission rate
- 2.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.54
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 4.70
- 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)
- 316
- Number of eligible stays
- 487
- Observed discharge to community rate
- 64.89
- Risk-standardized discharge to community rate
- 66.25
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.37
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.10
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 530
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 503
- Denominator
- 503
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 503
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 113
- Number of health care workers
- 119
- Rate of COVID-19 vaccination
- 95.0