About the Facility
- CMS Certification Number (CCN)
- 44T197
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
391 Wallace Rd
- Phone Number
- (615) 781-3470
Facility Medical Condition Statistics
- All other conditions
- 76
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 20
- Hip or knee replacement, amputation or other bone or joint condition
- 21
- Nervous system disorder (excluding stroke)
- 39
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 36
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
- 99
- Predicted number of infections (B)
- 0.204
- 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
- 204
- Denominator
- 204
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 180
- Average observed change score
- 17.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.6
- Denominator
- 180
- Average observed change score
- 39.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 159
- Denominator
- 180
- Facility rate
- 88.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 148
- Denominator
- 180
- Facility rate
- 82.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 204
- 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
- 1.546
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,132
- Predicted number of infections (B)
- 1.938
- 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
- 12
- Number of health care workers
- 21
- Rate of flu vaccination
- 57.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 189
- Unadjusted potentially preventable readmission rate
- 7.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.47
- Lower limit of the 95% confidence interval on the RSRR
- 6.72
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 208
- Unadjusted potentially preventable readmission rate
- 4.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.72
- Lower limit of the 95% confidence interval on the RSRR
- 3.19
- Upper limit of the 95% confidence interval on the RSRR
- 6.40
- 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)
- 125
- Number of eligible stays
- 162
- Observed discharge to community rate
- 77.16
- Risk-standardized discharge to community rate
- 73.36
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.34
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 171
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 202
- Denominator
- 204
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 203
- Facility observed rate
- 3.4
- Facility risk-adjusted rate
- 3.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 43
- Number of health care workers
- 52
- Rate of COVID-19 vaccination
- 82.7