About the Facility
- CMS Certification Number (CCN)
- 443029
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1282 Union Avenue
- Phone Number
- (901) 722-2000
Facility Medical Condition Statistics
- All other conditions
- 304
- Brain disease or condition (non-traumatic)
- 146
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 68
- Hip or knee replacement, amputation or other bone or joint condition
- 168
- Nervous system disorder (excluding stroke)
- 115
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 300
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.036
- SIR 95% confidence interval - upper limit
- 3.579
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 969
- Predicted number of infections (B)
- 1.378
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.726
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,157
- Denominator
- 1,159
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.1
- Denominator
- 996
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.4
- Denominator
- 1,000
- Average observed change score
- 29.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 693
- Denominator
- 1,000
- Facility rate
- 69.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 575
- Denominator
- 1,000
- Facility rate
- 57.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,159
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.248
- SIR 95% confidence interval - upper limit
- 1.880
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,570
- Predicted number of infections (B)
- 5.133
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.779
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 276
- Number of health care workers
- 302
- Rate of flu vaccination
- 91.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 114
- Number of eligible stays
- 1,106
- Unadjusted potentially preventable readmission rate
- 10.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.40
- Lower limit of the 95% confidence interval on the RSRR
- 8.15
- Upper limit of the 95% confidence interval on the RSRR
- 10.86
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 56
- Number of eligible stays
- 1,227
- Unadjusted potentially preventable readmission rate
- 4.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.90
- Lower limit of the 95% confidence interval on the RSRR
- 4.13
- Upper limit of the 95% confidence interval on the RSRR
- 6.06
- 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)
- 658
- Number of eligible stays
- 964
- Observed discharge to community rate
- 68.26
- Risk-standardized discharge to community rate
- 70.00
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.35
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.77
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 1,118
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,156
- Denominator
- 1,159
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 1,154
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 343
- Number of health care workers
- 353
- Rate of COVID-19 vaccination
- 97.2