About the Facility
- CMS Certification Number (CCN)
- 103027
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3487 Nw 30th St
- Phone Number
- (954) 739-6233
Facility Medical Condition Statistics
- All other conditions
- 45
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 21
- Nervous system disorder (excluding stroke)
- 83
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 46
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
- 479
- Predicted number of infections (B)
- 0.743
- 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
- 246
- Denominator
- 246
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 193
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.7
- Denominator
- 193
- Average observed change score
- 28.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 136
- Denominator
- 193
- Facility rate
- 70.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 90
- Denominator
- 193
- Facility rate
- 46.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 246
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.302
- SIR 95% confidence interval - upper limit
- 3.236
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,000
- Predicted number of infections (B)
- 2.523
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.189
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 94
- Number of health care workers
- 94
- 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
- 29
- Number of eligible stays
- 230
- Unadjusted potentially preventable readmission rate
- 12.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.20
- Lower limit of the 95% confidence interval on the RSRR
- 7.50
- Upper limit of the 95% confidence interval on the RSRR
- 11.31
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 272
- Unadjusted potentially preventable readmission rate
- 7.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.75
- Lower limit of the 95% confidence interval on the RSRR
- 4.12
- Upper limit of the 95% confidence interval on the RSRR
- 7.57
- 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)
- 98
- Number of eligible stays
- 229
- Observed discharge to community rate
- 42.79
- Risk-standardized discharge to community rate
- 50.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 44.58
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.36
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.17
- Number of eligible episodes
- 228
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 245
- Denominator
- 246
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 243
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 85
- Number of health care workers
- 85
- Rate of COVID-19 vaccination
- 100.0