About the Facility
- CMS Certification Number (CCN)
- 103036
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
2525 Sw 75th Ave
- Phone Number
- (305) 262-6800
Facility Medical Condition Statistics
- All other conditions
- 483
- Brain disease or condition (non-traumatic)
- 165
- Brain injury (traumatic)
- 57
- Hip or femur fracture
- 125
- Hip or knee replacement, amputation or other bone or joint condition
- 126
- Nervous system disorder (excluding stroke)
- 339
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 190
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.102
- SIR 95% confidence interval - upper limit
- 4.986
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 2,569
- Predicted number of infections (B)
- 2.777
- Number of infections reported (A)
- 7
- SIR (A/B)
- 2.521
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,443
- Denominator
- 1,465
- Facility rate
- 98.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 1,127
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.0
- Denominator
- 1,127
- Average observed change score
- 29.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 604
- Denominator
- 1,127
- Facility rate
- 53.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 617
- Denominator
- 1,127
- Facility rate
- 54.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,463
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.080
- SIR 95% confidence interval - upper limit
- 0.858
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 29,816
- Predicted number of infections (B)
- 9.519
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.315
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 402
- Number of health care workers
- 738
- Rate of flu vaccination
- 54.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 132
- Number of eligible stays
- 1,063
- Unadjusted potentially preventable readmission rate
- 12.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.45
- Lower limit of the 95% confidence interval on the RSRR
- 8.10
- Upper limit of the 95% confidence interval on the RSRR
- 10.73
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 118
- Number of eligible stays
- 1,286
- Unadjusted potentially preventable readmission rate
- 9.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.73
- Lower limit of the 95% confidence interval on the RSRR
- 5.62
- Upper limit of the 95% confidence interval on the RSRR
- 7.85
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 425
- Number of eligible stays
- 909
- Observed discharge to community rate
- 46.75
- Risk-standardized discharge to community rate
- 52.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 49.50
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.15
- 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
- 1,161
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,296
- Denominator
- 1,465
- Facility rate
- 88.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 1,457
- 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
- 444
- Number of health care workers
- 475
- Rate of COVID-19 vaccination
- 93.5