About the Facility
- CMS Certification Number (CCN)
- 44T231
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1009 N Thompson Lane
- Phone Number
- (615) 867-1111
Facility Medical Condition Statistics
- All other conditions
- 79
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 39
- Hip or knee replacement, amputation or other bone or joint condition
- 71
- Nervous system disorder (excluding stroke)
- 21
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- 11
- Stroke
- 91
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
- 2.639
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 561
- Predicted number of infections (B)
- 1.135
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 352
- Denominator
- 352
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.6
- Denominator
- 307
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.5
- Denominator
- 308
- Average observed change score
- 29.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 201
- Denominator
- 308
- Facility rate
- 65.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 152
- Denominator
- 308
- Facility rate
- 49.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 352
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 4,746
- Predicted number of infections (B)
- 0.788
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of flu vaccination
- Not Available
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 26
- Number of eligible stays
- 280
- Unadjusted potentially preventable readmission rate
- 9.29
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.27
- Lower limit of the 95% confidence interval on the RSRR
- 7.28
- Upper limit of the 95% confidence interval on the RSRR
- 11.56
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 317
- Unadjusted potentially preventable readmission rate
- 7.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.96
- Lower limit of the 95% confidence interval on the RSRR
- 4.88
- Upper limit of the 95% confidence interval on the RSRR
- 9.04
- 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)
- 159
- Number of eligible stays
- 253
- Observed discharge to community rate
- 62.85
- Risk-standardized discharge to community rate
- 61.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.12
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.63
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 265
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 351
- Denominator
- 352
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 352
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 290
- Number of health care workers
- 412
- Rate of COVID-19 vaccination
- 70.4