About the Facility
- CMS Certification Number (CCN)
- 44T035
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
651 Dunlop Lane
- Phone Number
- (931) 502-4001
Facility Medical Condition Statistics
- All other conditions
- 48
- Brain disease or condition (non-traumatic)
- 19
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 61
- 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
- 43
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
- 176
- Predicted number of infections (B)
- 0.324
- 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
- 237
- Denominator
- 238
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.6
- Denominator
- 217
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.7
- Denominator
- 217
- Average observed change score
- 31.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 142
- Denominator
- 217
- Facility rate
- 65.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 128
- Denominator
- 217
- Facility rate
- 59.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 238
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.622
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,235
- Predicted number of infections (B)
- 1.143
- 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
- 53
- Number of health care workers
- 58
- Rate of flu vaccination
- 91.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 242
- Unadjusted potentially preventable readmission rate
- 8.68
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.32
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 11.86
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 265
- Unadjusted potentially preventable readmission rate
- 3.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.48
- Lower limit of the 95% confidence interval on the RSRR
- 2.87
- Upper limit of the 95% confidence interval on the RSRR
- 6.48
- 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)
- 161
- Number of eligible stays
- 217
- Observed discharge to community rate
- 74.19
- Risk-standardized discharge to community rate
- 69.05
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.69
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 240
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 217
- Denominator
- 238
- Facility rate
- 91.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 238
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 51
- Number of health care workers
- 53
- Rate of COVID-19 vaccination
- 96.2