About the Facility
- CMS Certification Number (CCN)
- 42T085
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
809 82nd Pkwy
- Phone Number
- (843) 497-8740
Facility Medical Condition Statistics
- All other conditions
- 165
- Brain disease or condition (non-traumatic)
- 47
- Brain injury (traumatic)
- 63
- Hip or femur fracture
- 121
- Hip or knee replacement, amputation or other bone or joint condition
- 84
- Nervous system disorder (excluding stroke)
- 43
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 130
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
- 333
- Predicted number of infections (B)
- 0.481
- 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
- 597
- Denominator
- 599
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.7
- Denominator
- 543
- Average observed change score
- 19.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 40.4
- Denominator
- 543
- Average observed change score
- 44.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 501
- Denominator
- 543
- Facility rate
- 92.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 509
- Denominator
- 543
- Facility rate
- 93.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 598
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.015
- SIR 95% confidence interval - upper limit
- 1.452
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,549
- Predicted number of infections (B)
- 3.397
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.294
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 51
- Rate of flu vaccination
- 51.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 65
- Number of eligible stays
- 839
- Unadjusted potentially preventable readmission rate
- 7.75
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.88
- Lower limit of the 95% confidence interval on the RSRR
- 7.47
- Upper limit of the 95% confidence interval on the RSRR
- 10.90
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 38
- Number of eligible stays
- 904
- Unadjusted potentially preventable readmission rate
- 4.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.65
- Lower limit of the 95% confidence interval on the RSRR
- 3.65
- Upper limit of the 95% confidence interval on the RSRR
- 6.38
- 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)
- 574
- Number of eligible stays
- 745
- Observed discharge to community rate
- 77.05
- Risk-standardized discharge to community rate
- 75.72
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.46
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 754
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 595
- Denominator
- 599
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 597
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 51
- Rate of COVID-19 vaccination
- 62.7