About the Facility
- CMS Certification Number (CCN)
- 103039
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3599 University Blvd S
- Phone Number
- (904) 858-7625
Facility Medical Condition Statistics
- All other conditions
- 692
- Brain disease or condition (non-traumatic)
- 332
- Brain injury (traumatic)
- 138
- Hip or femur fracture
- 228
- Hip or knee replacement, amputation or other bone or joint condition
- 302
- Nervous system disorder (excluding stroke)
- 132
- Spinal cord disease or condition (non-traumatic)
- 151
- Spinal cord injury (traumatic)
- 91
- Stroke
- 514
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.012
- SIR 95% confidence interval - upper limit
- 1.134
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,700
- Predicted number of infections (B)
- 4.350
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.230
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 2,450
- Denominator
- 2,466
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 2,039
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.6
- Denominator
- 2,039
- Average observed change score
- 28.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 979
- Denominator
- 2,039
- Facility rate
- 48.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,135
- Denominator
- 2,039
- Facility rate
- 55.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 2,466
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.323
- SIR 95% confidence interval - upper limit
- 0.866
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 60,371
- Predicted number of infections (B)
- 29.353
- Number of infections reported (A)
- 16
- SIR (A/B)
- 0.545
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,213
- Number of health care workers
- 1,505
- Rate of flu vaccination
- 80.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 130
- Number of eligible stays
- 1,650
- Unadjusted potentially preventable readmission rate
- 7.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.38
- Lower limit of the 95% confidence interval on the RSRR
- 6.37
- Upper limit of the 95% confidence interval on the RSRR
- 8.48
- Comparative performance category
- Better than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 108
- Number of eligible stays
- 1,885
- Unadjusted potentially preventable readmission rate
- 5.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.30
- Lower limit of the 95% confidence interval on the RSRR
- 3.70
- Upper limit of the 95% confidence interval on the RSRR
- 4.96
- 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)
- 808
- Number of eligible stays
- 1,531
- Observed discharge to community rate
- 52.78
- Risk-standardized discharge to community rate
- 60.37
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.60
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.73
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 1,556
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 2,444
- Denominator
- 2,466
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 2,449
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 969
- Number of health care workers
- 1,126
- Rate of COVID-19 vaccination
- 86.1