About the Facility
- CMS Certification Number (CCN)
- 44T150
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
5655 Frist Blvd
- Phone Number
- (615) 391-7310
Facility Medical Condition Statistics
- All other conditions
- 102
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 82
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
- 193
- Predicted number of infections (B)
- 0.368
- 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
- 310
- Denominator
- 312
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 276
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.2
- Denominator
- 276
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 205
- Denominator
- 276
- Facility rate
- 74.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 217
- Denominator
- 276
- Facility rate
- 78.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 312
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.274
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,377
- Predicted number of infections (B)
- 2.351
- 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
- 15
- Number of health care workers
- 20
- Rate of flu vaccination
- 75.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 22
- Number of eligible stays
- 311
- Unadjusted potentially preventable readmission rate
- 7.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.29
- Lower limit of the 95% confidence interval on the RSRR
- 6.59
- Upper limit of the 95% confidence interval on the RSRR
- 10.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 341
- Unadjusted potentially preventable readmission rate
- 5.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.37
- Lower limit of the 95% confidence interval on the RSRR
- 3.98
- Upper limit of the 95% confidence interval on the RSRR
- 7.29
- 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)
- 217
- Number of eligible stays
- 282
- Observed discharge to community rate
- 76.95
- Risk-standardized discharge to community rate
- 74.16
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.06
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.33
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 287
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 311
- Denominator
- 312
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 18
- Denominator
- 312
- Facility observed rate
- 5.8
- Facility risk-adjusted rate
- 6.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 27
- Number of health care workers
- 31
- Rate of COVID-19 vaccination
- 87.1