About the Facility
- CMS Certification Number (CCN)
- 44T183
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
5959 Park Avenue
- Phone Number
- (901) 765-2400
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- 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
- 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
- 37
- Predicted number of infections (B)
- 0.097
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 138
- Denominator
- 138
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.0
- Denominator
- 124
- Average observed change score
- 9.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.6
- Denominator
- 124
- Average observed change score
- 20.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 79
- Denominator
- 124
- Facility rate
- 63.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 24
- Denominator
- 124
- Facility rate
- 19.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 138
- 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
- 1.051
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,395
- Predicted number of infections (B)
- 2.849
- 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
- 26
- Number of health care workers
- 40
- Rate of flu vaccination
- 65.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 147
- Unadjusted potentially preventable readmission rate
- 7.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.69
- Lower limit of the 95% confidence interval on the RSRR
- 6.57
- Upper limit of the 95% confidence interval on the RSRR
- 11.00
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 170
- Unadjusted potentially preventable readmission rate
- 5.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.77
- Lower limit of the 95% confidence interval on the RSRR
- 3.50
- Upper limit of the 95% confidence interval on the RSRR
- 8.72
- 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)
- 85
- Number of eligible stays
- 121
- Observed discharge to community rate
- 70.25
- Risk-standardized discharge to community rate
- 65.36
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.34
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.71
- 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
- 141
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 133
- Denominator
- 138
- Facility rate
- 96.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 137
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 29
- Number of health care workers
- 64
- Rate of COVID-19 vaccination
- 45.3