About the Facility
- CMS Certification Number (CCN)
- 443035
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1000 Physicians Way
- Phone Number
- (615) 721-4000
Facility Medical Condition Statistics
- All other conditions
- 142
- Brain disease or condition (non-traumatic)
- 48
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 62
- Hip or knee replacement, amputation or other bone or joint condition
- 169
- Nervous system disorder (excluding stroke)
- 122
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 179
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
- 509
- Predicted number of infections (B)
- 0.633
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 759
- Denominator
- 760
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.1
- Denominator
- 667
- Average observed change score
- 15.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.4
- Denominator
- 667
- Average observed change score
- 39.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 588
- Denominator
- 667
- Facility rate
- 88.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 599
- Denominator
- 667
- Facility rate
- 89.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 760
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.077
- SIR 95% confidence interval - upper limit
- 1.520
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,657
- Predicted number of infections (B)
- 4.348
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.460
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 170
- Number of health care workers
- 189
- Rate of flu vaccination
- 89.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 53
- Number of eligible stays
- 779
- Unadjusted potentially preventable readmission rate
- 6.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.33
- Lower limit of the 95% confidence interval on the RSRR
- 6.84
- Upper limit of the 95% confidence interval on the RSRR
- 10.06
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 37
- Number of eligible stays
- 849
- Unadjusted potentially preventable readmission rate
- 4.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.19
- Lower limit of the 95% confidence interval on the RSRR
- 3.97
- Upper limit of the 95% confidence interval on the RSRR
- 6.65
- 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)
- 511
- Number of eligible stays
- 687
- Observed discharge to community rate
- 74.38
- Risk-standardized discharge to community rate
- 70.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.39
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.40
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 841
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 760
- Denominator
- 760
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 760
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 153
- Number of health care workers
- 171
- Rate of COVID-19 vaccination
- 89.5