About the Facility
- CMS Certification Number (CCN)
- 443031
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
4100 Austin Peay Highway
- Phone Number
- (901) 213-5400
Facility Medical Condition Statistics
- All other conditions
- 271
- Brain disease or condition (non-traumatic)
- 108
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 90
- Hip or knee replacement, amputation or other bone or joint condition
- 154
- Nervous system disorder (excluding stroke)
- 78
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 119
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.313
- SIR 95% confidence interval - upper limit
- 6.170
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 860
- Predicted number of infections (B)
- 1.071
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.867
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 824
- Denominator
- 824
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 722
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.8
- Denominator
- 722
- Average observed change score
- 38.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 576
- Denominator
- 722
- Facility rate
- 79.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 579
- Denominator
- 722
- Facility rate
- 80.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 824
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.236
- SIR 95% confidence interval - upper limit
- 1.792
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,697
- Predicted number of infections (B)
- 5.386
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.743
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 197
- Number of health care workers
- 225
- Rate of flu vaccination
- 87.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 116
- Number of eligible stays
- 943
- Unadjusted potentially preventable readmission rate
- 12.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.18
- Lower limit of the 95% confidence interval on the RSRR
- 8.82
- Upper limit of the 95% confidence interval on the RSRR
- 11.77
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 53
- Number of eligible stays
- 1,039
- Unadjusted potentially preventable readmission rate
- 5.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.13
- Lower limit of the 95% confidence interval on the RSRR
- 4.13
- Upper limit of the 95% confidence interval on the RSRR
- 6.53
- 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)
- 543
- Number of eligible stays
- 826
- Observed discharge to community rate
- 65.74
- Risk-standardized discharge to community rate
- 66.95
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.84
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.18
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 946
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 818
- Denominator
- 824
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 15
- Denominator
- 820
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 232
- Number of health care workers
- 248
- Rate of COVID-19 vaccination
- 93.5