About the Facility
- CMS Certification Number (CCN)
- 44T152
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
890 Madison Avenue
3rd Floor Turner Tower
- Phone Number
- (901) 545-6060
Facility Medical Condition Statistics
- All other conditions
- 30
- Brain disease or condition (non-traumatic)
- -
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 77
- 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)
- Data not available for this reporting period.
- Stroke
- 11
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
- 217
- Predicted number of infections (B)
- 0.449
- 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
- 174
- Denominator
- 174
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.3
- Denominator
- 157
- Average observed change score
- 10.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.5
- Denominator
- 157
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 63
- Denominator
- 157
- Facility rate
- 40.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 49
- Denominator
- 157
- Facility rate
- 31.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 174
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.920
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,451
- Predicted number of infections (B)
- 2.568
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.389
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 43
- Number of health care workers
- 43
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 215
- Unadjusted potentially preventable readmission rate
- 6.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.07
- Lower limit of the 95% confidence interval on the RSRR
- 7.03
- Upper limit of the 95% confidence interval on the RSRR
- 11.71
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 227
- Unadjusted potentially preventable readmission rate
- 2.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.46
- Lower limit of the 95% confidence interval on the RSRR
- 2.76
- Upper limit of the 95% confidence interval on the RSRR
- 6.59
- 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)
- 122
- Number of eligible stays
- 176
- Observed discharge to community rate
- 69.32
- Risk-standardized discharge to community rate
- 63.28
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.03
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.83
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.82
- Number of eligible episodes
- 194
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 83
- Denominator
- 174
- Facility rate
- 47.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 174
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 17
- Number of health care workers
- 17
- Rate of COVID-19 vaccination
- 100.0