About the Facility
- CMS Certification Number (CCN)
- 443028
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2201 Childrens Way
- Phone Number
- (615) 320-7600
Facility Medical Condition Statistics
- All other conditions
- 211
- Brain disease or condition (non-traumatic)
- 46
- Brain injury (traumatic)
- 50
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 99
- Nervous system disorder (excluding stroke)
- 172
- Spinal cord disease or condition (non-traumatic)
- 67
- Spinal cord injury (traumatic)
- 12
- Stroke
- 113
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.718
- SIR 95% confidence interval - upper limit
- 4.343
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,648
- Predicted number of infections (B)
- 2.552
- Number of infections reported (A)
- 5
- SIR (A/B)
- 1.959
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 764
- Denominator
- 764
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 602
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.7
- Denominator
- 603
- Average observed change score
- 32.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 432
- Denominator
- 603
- Facility rate
- 71.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 411
- Denominator
- 603
- Facility rate
- 68.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 764
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.050
- SIR 95% confidence interval - upper limit
- 0.984
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 16,442
- Predicted number of infections (B)
- 6.714
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.298
- 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
- 294
- Rate of flu vaccination
- 92.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 66
- Number of eligible stays
- 697
- Unadjusted potentially preventable readmission rate
- 9.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.49
- Lower limit of the 95% confidence interval on the RSRR
- 7.14
- Upper limit of the 95% confidence interval on the RSRR
- 10.07
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 60
- Number of eligible stays
- 788
- Unadjusted potentially preventable readmission rate
- 7.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.39
- Lower limit of the 95% confidence interval on the RSRR
- 4.93
- Upper limit of the 95% confidence interval on the RSRR
- 8.12
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 414
- Number of eligible stays
- 636
- Observed discharge to community rate
- 65.09
- Risk-standardized discharge to community rate
- 67.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.90
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.41
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 671
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 761
- Denominator
- 764
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 764
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 273
- Number of health care workers
- 336
- Rate of COVID-19 vaccination
- 81.3