About the Facility
- CMS Certification Number (CCN)
- 443030
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
180 Mount Pelia Road
- Phone Number
- (731) 587-4261
Facility Medical Condition Statistics
- All other conditions
- 249
- Brain disease or condition (non-traumatic)
- 76
- Brain injury (traumatic)
- 23
- Hip or femur fracture
- 71
- Hip or knee replacement, amputation or other bone or joint condition
- 82
- Nervous system disorder (excluding stroke)
- 97
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 145
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
- 775
- Predicted number of infections (B)
- 0.836
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 724
- Denominator
- 725
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.1
- Denominator
- 646
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.2
- Denominator
- 646
- Average observed change score
- 33.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 479
- Denominator
- 646
- Facility rate
- 74.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 478
- Denominator
- 646
- Facility rate
- 74.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 725
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.012
- SIR 95% confidence interval - upper limit
- 1.167
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,884
- Predicted number of infections (B)
- 4.226
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.237
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 150
- Number of health care workers
- 182
- Rate of flu vaccination
- 82.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 80
- Number of eligible stays
- 779
- Unadjusted potentially preventable readmission rate
- 10.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.03
- Lower limit of the 95% confidence interval on the RSRR
- 7.68
- Upper limit of the 95% confidence interval on the RSRR
- 10.62
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 845
- Unadjusted potentially preventable readmission rate
- 4.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.80
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 6.07
- 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)
- 442
- Number of eligible stays
- 663
- Observed discharge to community rate
- 66.67
- Risk-standardized discharge to community rate
- 66.46
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.09
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.89
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 887
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 724
- Denominator
- 725
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 720
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 104
- Number of health care workers
- 133
- Rate of COVID-19 vaccination
- 78.2