About the Facility
- CMS Certification Number (CCN)
- 103038
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
20601 Old Cutler Rd
- Phone Number
- (305) 251-3800
Facility Medical Condition Statistics
- All other conditions
- 202
- Brain disease or condition (non-traumatic)
- 44
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 97
- Hip or knee replacement, amputation or other bone or joint condition
- 202
- Nervous system disorder (excluding stroke)
- 264
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 138
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
- 1.945
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,427
- Predicted number of infections (B)
- 1.540
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 997
- Denominator
- 997
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 837
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.2
- Denominator
- 837
- Average observed change score
- 30.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 470
- Denominator
- 837
- Facility rate
- 56.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 485
- Denominator
- 837
- Facility rate
- 57.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 997
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.145
- SIR 95% confidence interval - upper limit
- 1.553
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 16,467
- Predicted number of infections (B)
- 5.257
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.571
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 332
- Number of health care workers
- 372
- Rate of flu vaccination
- 89.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 110
- Number of eligible stays
- 896
- Unadjusted potentially preventable readmission rate
- 12.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.69
- Lower limit of the 95% confidence interval on the RSRR
- 8.46
- Upper limit of the 95% confidence interval on the RSRR
- 11.23
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 70
- Number of eligible stays
- 1,040
- Unadjusted potentially preventable readmission rate
- 6.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.38
- Lower limit of the 95% confidence interval on the RSRR
- 4.42
- Upper limit of the 95% confidence interval on the RSRR
- 6.69
- 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)
- 488
- Number of eligible stays
- 816
- Observed discharge to community rate
- 59.80
- Risk-standardized discharge to community rate
- 66.57
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.98
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.97
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 1,053
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 997
- Denominator
- 997
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 995
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 263
- Number of health care workers
- 308
- Rate of COVID-19 vaccination
- 85.4