About the Facility
- CMS Certification Number (CCN)
- 443025
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1 Siskin Plaza
- Phone Number
- (423) 634-1200
Facility Medical Condition Statistics
- All other conditions
- 475
- Brain disease or condition (non-traumatic)
- 125
- Brain injury (traumatic)
- 103
- Hip or femur fracture
- 115
- Hip or knee replacement, amputation or other bone or joint condition
- 168
- Nervous system disorder (excluding stroke)
- 70
- Spinal cord disease or condition (non-traumatic)
- 42
- Spinal cord injury (traumatic)
- 11
- Stroke
- 339
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.469
- SIR 95% confidence interval - upper limit
- 6.005
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 2,344
- Predicted number of infections (B)
- 2.530
- Number of infections reported (A)
- 8
- SIR (A/B)
- 3.162
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,386
- Denominator
- 1,401
- Facility rate
- 98.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.4
- Denominator
- 1,235
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.0
- Denominator
- 1,235
- Average observed change score
- 29.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 523
- Denominator
- 1,235
- Facility rate
- 42.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 638
- Denominator
- 1,235
- Facility rate
- 51.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,399
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.007
- SIR 95% confidence interval - upper limit
- 0.676
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 18,858
- Predicted number of infections (B)
- 7.295
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.137
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 324
- Number of health care workers
- 471
- Rate of flu vaccination
- 68.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 111
- Number of eligible stays
- 1,609
- Unadjusted potentially preventable readmission rate
- 6.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.52
- Upper limit of the 95% confidence interval on the RSRR
- 8.74
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 79
- Number of eligible stays
- 1,755
- Unadjusted potentially preventable readmission rate
- 4.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.56
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 5.53
- 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)
- 925
- Number of eligible stays
- 1,420
- Observed discharge to community rate
- 65.14
- Risk-standardized discharge to community rate
- 66.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.97
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.84
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,553
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,349
- Denominator
- 1,401
- Facility rate
- 96.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 1,385
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 497
- Number of health care workers
- 559
- Rate of COVID-19 vaccination
- 88.9