About the Facility
- CMS Certification Number (CCN)
- 443036
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
616 West Forest Avenue
- Phone Number
- (731) 541-5000
Facility Medical Condition Statistics
- All other conditions
- 67
- Brain disease or condition (non-traumatic)
- 98
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 153
- Hip or knee replacement, amputation or other bone or joint condition
- 90
- Nervous system disorder (excluding stroke)
- 404
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 223
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.038
- SIR 95% confidence interval - upper limit
- 3.765
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,213
- Predicted number of infections (B)
- 1.310
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.763
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,087
- Denominator
- 1,087
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 937
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 938
- Average observed change score
- 35.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 643
- Denominator
- 938
- Facility rate
- 68.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 661
- Denominator
- 938
- Facility rate
- 70.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,087
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.050
- SIR 95% confidence interval - upper limit
- 0.982
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 15,734
- Predicted number of infections (B)
- 6.727
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.297
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 180
- Number of health care workers
- 223
- Rate of flu vaccination
- 80.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 118
- Number of eligible stays
- 1,135
- Unadjusted potentially preventable readmission rate
- 10.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.57
- Lower limit of the 95% confidence interval on the RSRR
- 8.16
- Upper limit of the 95% confidence interval on the RSRR
- 11.16
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 61
- Number of eligible stays
- 1,239
- Unadjusted potentially preventable readmission rate
- 4.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.12
- Lower limit of the 95% confidence interval on the RSRR
- 4.13
- Upper limit of the 95% confidence interval on the RSRR
- 6.66
- 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)
- 697
- Number of eligible stays
- 1,017
- Observed discharge to community rate
- 68.53
- Risk-standardized discharge to community rate
- 67.25
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.69
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 1,174
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,087
- Denominator
- 1,087
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 1,087
- 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
- 163
- Number of health care workers
- 196
- Rate of COVID-19 vaccination
- 83.2