About the Facility
- CMS Certification Number (CCN)
- 443033
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2511 Wesley Street
- Phone Number
- (423) 952-1700
Facility Medical Condition Statistics
- All other conditions
- 133
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 159
- Nervous system disorder (excluding stroke)
- 91
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 155
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
- 826
- Predicted number of infections (B)
- 0.893
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 673
- Denominator
- 674
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.4
- Denominator
- 587
- Average observed change score
- 16.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.2
- Denominator
- 587
- Average observed change score
- 40.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 489
- Denominator
- 587
- Facility rate
- 83.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 464
- Denominator
- 587
- Facility rate
- 79.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 674
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.097
- SIR 95% confidence interval - upper limit
- 1.915
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,809
- Predicted number of infections (B)
- 3.451
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.580
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 178
- Number of health care workers
- 199
- Rate of flu vaccination
- 89.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 47
- Number of eligible stays
- 603
- Unadjusted potentially preventable readmission rate
- 7.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.70
- Lower limit of the 95% confidence interval on the RSRR
- 7.10
- Upper limit of the 95% confidence interval on the RSRR
- 10.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 39
- Number of eligible stays
- 672
- Unadjusted potentially preventable readmission rate
- 5.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.95
- Lower limit of the 95% confidence interval on the RSRR
- 4.68
- Upper limit of the 95% confidence interval on the RSRR
- 7.81
- 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)
- 390
- Number of eligible stays
- 549
- Observed discharge to community rate
- 71.04
- Risk-standardized discharge to community rate
- 69.95
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.40
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.18
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 634
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 672
- Denominator
- 674
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 671
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 182
- Number of health care workers
- 212
- Rate of COVID-19 vaccination
- 85.8