About the Facility
- CMS Certification Number (CCN)
- 34T141
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2131 South 17th Street
- Phone Number
- (910) 667-5619
Facility Medical Condition Statistics
- All other conditions
- 141
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 65
- Hip or knee replacement, amputation or other bone or joint condition
- 83
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 56
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 199
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.262
- SIR 95% confidence interval - upper limit
- 5.170
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 469
- Predicted number of infections (B)
- 1.278
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.565
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 606
- Denominator
- 610
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 534
- Average observed change score
- 10.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.4
- Denominator
- 534
- Average observed change score
- 25.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 228
- Denominator
- 534
- Facility rate
- 42.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 206
- Denominator
- 534
- Facility rate
- 38.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 608
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.067
- SIR 95% confidence interval - upper limit
- 1.328
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,050
- Predicted number of infections (B)
- 4.977
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.402
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 271
- Number of health care workers
- 277
- 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
- 41
- Number of eligible stays
- 637
- Unadjusted potentially preventable readmission rate
- 6.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.83
- Lower limit of the 95% confidence interval on the RSRR
- 6.45
- Upper limit of the 95% confidence interval on the RSRR
- 9.57
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 705
- Unadjusted potentially preventable readmission rate
- 3.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.23
- Lower limit of the 95% confidence interval on the RSRR
- 3.23
- 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)
- 412
- Number of eligible stays
- 569
- Observed discharge to community rate
- 72.41
- Risk-standardized discharge to community rate
- 71.12
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.71
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.29
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 584
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 572
- Denominator
- 610
- Facility rate
- 93.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 610
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 249
- Number of health care workers
- 255
- Rate of COVID-19 vaccination
- 97.6