About the Facility
- CMS Certification Number (CCN)
- 103026
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1050 Ne 125th St
- Phone Number
- (305) 891-8850
Facility Medical Condition Statistics
- All other conditions
- 134
- Brain disease or condition (non-traumatic)
- 87
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 121
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- -
- Stroke
- 108
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
- 799
- Predicted number of infections (B)
- 0.878
- 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
- 552
- Denominator
- 552
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.0
- Denominator
- 454
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.7
- Denominator
- 454
- Average observed change score
- 24.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 234
- Denominator
- 454
- Facility rate
- 51.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 184
- Denominator
- 454
- Facility rate
- 40.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 552
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.152
- SIR 95% confidence interval - upper limit
- 1.629
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,584
- Predicted number of infections (B)
- 5.013
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.598
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 263
- Number of health care workers
- 271
- Rate of flu vaccination
- 97.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 65
- Number of eligible stays
- 602
- Unadjusted potentially preventable readmission rate
- 10.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.56
- Lower limit of the 95% confidence interval on the RSRR
- 7.15
- Upper limit of the 95% confidence interval on the RSRR
- 10.18
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 41
- Number of eligible stays
- 689
- Unadjusted potentially preventable readmission rate
- 5.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.81
- Lower limit of the 95% confidence interval on the RSRR
- 3.55
- Upper limit of the 95% confidence interval on the RSRR
- 6.01
- 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)
- 232
- Number of eligible stays
- 513
- Observed discharge to community rate
- 45.22
- Risk-standardized discharge to community rate
- 52.77
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 47.93
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.26
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.15
- Number of eligible episodes
- 597
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 552
- Denominator
- 552
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 551
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 259
- Number of health care workers
- 265
- Rate of COVID-19 vaccination
- 97.7