About the Facility
- CMS Certification Number (CCN)
- 103028
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
4399 Nob Hill Rd
- Phone Number
- (954) 749-0300
Facility Medical Condition Statistics
- All other conditions
- 410
- Brain disease or condition (non-traumatic)
- 169
- Brain injury (traumatic)
- 116
- Hip or femur fracture
- 142
- Hip or knee replacement, amputation or other bone or joint condition
- 263
- Nervous system disorder (excluding stroke)
- 527
- Spinal cord disease or condition (non-traumatic)
- 55
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 303
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.027
- SIR 95% confidence interval - upper limit
- 2.705
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,686
- Predicted number of infections (B)
- 1.823
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.549
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,934
- Denominator
- 1,934
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.7
- Denominator
- 1,616
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.0
- Denominator
- 1,617
- Average observed change score
- 28.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,133
- Denominator
- 1,617
- Facility rate
- 70.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,039
- Denominator
- 1,617
- Facility rate
- 64.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,934
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.225
- SIR 95% confidence interval - upper limit
- 1.019
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 31,779
- Predicted number of infections (B)
- 13.588
- Number of infections reported (A)
- 7
- SIR (A/B)
- 0.515
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 467
- Number of health care workers
- 616
- Rate of flu vaccination
- 75.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 268
- Number of eligible stays
- 1,948
- Unadjusted potentially preventable readmission rate
- 13.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.00
- Lower limit of the 95% confidence interval on the RSRR
- 10.03
- Upper limit of the 95% confidence interval on the RSRR
- 12.18
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 143
- Number of eligible stays
- 2,213
- Unadjusted potentially preventable readmission rate
- 6.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.62
- Lower limit of the 95% confidence interval on the RSRR
- 4.58
- Upper limit of the 95% confidence interval on the RSRR
- 6.31
- 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)
- 974
- Number of eligible stays
- 1,684
- Observed discharge to community rate
- 57.84
- Risk-standardized discharge to community rate
- 62.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.11
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 1,960
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,931
- Denominator
- 1,934
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 15
- Denominator
- 1,929
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 453
- Number of health care workers
- 535
- Rate of COVID-19 vaccination
- 84.7