About the Facility
- CMS Certification Number (CCN)
- 443034
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1240 S Germantown Road
- Phone Number
- (901) 757-1350
Facility Medical Condition Statistics
- All other conditions
- 382
- Brain disease or condition (non-traumatic)
- 79
- Brain injury (traumatic)
- 53
- Hip or femur fracture
- 228
- Hip or knee replacement, amputation or other bone or joint condition
- 183
- Nervous system disorder (excluding stroke)
- 94
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 231
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
- 2.802
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 991
- Predicted number of infections (B)
- 1.069
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,206
- Denominator
- 1,206
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.6
- Denominator
- 1,069
- Average observed change score
- 16.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.4
- Denominator
- 1,069
- Average observed change score
- 39.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 917
- Denominator
- 1,069
- Facility rate
- 85.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 888
- Denominator
- 1,069
- Facility rate
- 83.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,206
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.135
- SIR 95% confidence interval - upper limit
- 1.444
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 17,428
- Predicted number of infections (B)
- 5.653
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.531
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 318
- Number of health care workers
- 337
- Rate of flu vaccination
- 94.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 132
- Number of eligible stays
- 1,730
- Unadjusted potentially preventable readmission rate
- 7.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.18
- Lower limit of the 95% confidence interval on the RSRR
- 7.10
- Upper limit of the 95% confidence interval on the RSRR
- 9.37
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 99
- Number of eligible stays
- 1,906
- Unadjusted potentially preventable readmission rate
- 5.19
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.16
- Lower limit of the 95% confidence interval on the RSRR
- 4.33
- Upper limit of the 95% confidence interval on the RSRR
- 6.35
- 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)
- 1,102
- Number of eligible stays
- 1,610
- Observed discharge to community rate
- 68.45
- Risk-standardized discharge to community rate
- 71.02
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.12
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,692
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,196
- Denominator
- 1,206
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 26
- Denominator
- 1,204
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 274
- Number of health care workers
- 291
- Rate of COVID-19 vaccination
- 94.2