About the Facility
- CMS Certification Number (CCN)
- 44T006
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3441 Dickerson Pike
- Phone Number
- (615) 769-7867
Facility Medical Condition Statistics
- All other conditions
- 157
- Brain disease or condition (non-traumatic)
- 63
- Brain injury (traumatic)
- 55
- Hip or femur fracture
- 74
- Hip or knee replacement, amputation or other bone or joint condition
- 94
- Nervous system disorder (excluding stroke)
- 55
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 220
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.317
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 546
- Predicted number of infections (B)
- 1.487
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.672
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 693
- Denominator
- 693
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 608
- Average observed change score
- 17.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.4
- Denominator
- 608
- Average observed change score
- 37.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 487
- Denominator
- 608
- Facility rate
- 80.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 456
- Denominator
- 608
- Facility rate
- 75.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 693
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.476
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 13,987
- Predicted number of infections (B)
- 6.297
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 52
- Rate of flu vaccination
- 40.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 523
- Unadjusted potentially preventable readmission rate
- 7.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.15
- Lower limit of the 95% confidence interval on the RSRR
- 6.55
- Upper limit of the 95% confidence interval on the RSRR
- 9.93
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 29
- Number of eligible stays
- 574
- Unadjusted potentially preventable readmission rate
- 5.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.81
- Lower limit of the 95% confidence interval on the RSRR
- 3.72
- Upper limit of the 95% confidence interval on the RSRR
- 6.85
- 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)
- 326
- Number of eligible stays
- 457
- Observed discharge to community rate
- 71.33
- Risk-standardized discharge to community rate
- 72.91
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.24
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 487
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 686
- Denominator
- 693
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 691
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 23
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 76.7