About the Facility
- CMS Certification Number (CCN)
- 103032
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1600 37th St
- Phone Number
- (772) 778-2100
Facility Medical Condition Statistics
- All other conditions
- 386
- Brain disease or condition (non-traumatic)
- 83
- Brain injury (traumatic)
- 67
- Hip or femur fracture
- 223
- Hip or knee replacement, amputation or other bone or joint condition
- 306
- Nervous system disorder (excluding stroke)
- 307
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 196
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.232
- SIR 95% confidence interval - upper limit
- 4.576
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,337
- Predicted number of infections (B)
- 1.444
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.385
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,564
- Denominator
- 1,564
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.4
- Denominator
- 1,361
- Average observed change score
- 13.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.0
- Denominator
- 1,361
- Average observed change score
- 29.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 939
- Denominator
- 1,361
- Facility rate
- 69.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 783
- Denominator
- 1,361
- Facility rate
- 57.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,564
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.498
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 20,754
- Predicted number of infections (B)
- 6.013
- 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
- 232
- Number of health care workers
- 454
- Rate of flu vaccination
- 51.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 160
- Number of eligible stays
- 1,761
- Unadjusted potentially preventable readmission rate
- 9.09
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.23
- Lower limit of the 95% confidence interval on the RSRR
- 8.11
- Upper limit of the 95% confidence interval on the RSRR
- 10.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 62
- Number of eligible stays
- 1,879
- Unadjusted potentially preventable readmission rate
- 3.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.78
- Lower limit of the 95% confidence interval on the RSRR
- 3.07
- Upper limit of the 95% confidence interval on the RSRR
- 4.48
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 1,114
- Number of eligible stays
- 1,505
- Observed discharge to community rate
- 74.02
- Risk-standardized discharge to community rate
- 73.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.05
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.36
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 1,991
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,537
- Denominator
- 1,564
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 36
- Denominator
- 1,561
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 250
- Number of health care workers
- 285
- Rate of COVID-19 vaccination
- 87.7