About the Facility
- CMS Certification Number (CCN)
- 44T003
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
P.o. Box 1558
- Phone Number
- (615) 328-5081
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 38
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
- 182
- Predicted number of infections (B)
- 0.261
- 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
- 173
- Denominator
- 173
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 154
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.4
- Denominator
- 154
- Average observed change score
- 33.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 66
- Denominator
- 154
- Facility rate
- 42.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 90
- Denominator
- 154
- Facility rate
- 58.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 173
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,299
- Predicted number of infections (B)
- 0.924
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 17
- Number of health care workers
- 18
- 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
- 14
- Number of eligible stays
- 95
- Unadjusted potentially preventable readmission rate
- 14.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.98
- Lower limit of the 95% confidence interval on the RSRR
- 7.85
- Upper limit of the 95% confidence interval on the RSRR
- 13.04
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 105
- Unadjusted potentially preventable readmission rate
- 5.71
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.30
- Lower limit of the 95% confidence interval on the RSRR
- 3.73
- Upper limit of the 95% confidence interval on the RSRR
- 7.86
- 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)
- 46
- Number of eligible stays
- 83
- Observed discharge to community rate
- 55.42
- Risk-standardized discharge to community rate
- 58.93
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 51.65
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.24
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 86
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 171
- Denominator
- 173
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 172
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 54
- Rate of COVID-19 vaccination
- 70.4