About the Facility
- CMS Certification Number (CCN)
- 103042
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
12440 Cortez Blvd
- Phone Number
- (352) 835-4600
Facility Medical Condition Statistics
- All other conditions
- 474
- Brain disease or condition (non-traumatic)
- 182
- Brain injury (traumatic)
- 56
- Hip or femur fracture
- 174
- Hip or knee replacement, amputation or other bone or joint condition
- 237
- Nervous system disorder (excluding stroke)
- 150
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 250
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
- 1.334
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,080
- Predicted number of infections (B)
- 2.246
- 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
- 1,510
- Denominator
- 1,510
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 1,285
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.7
- Denominator
- 1,285
- Average observed change score
- 32.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 809
- Denominator
- 1,285
- Facility rate
- 63.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 758
- Denominator
- 1,285
- Facility rate
- 59.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 6
- Denominator
- 1,510
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.478
- SIR 95% confidence interval - upper limit
- 1.953
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 22,504
- Predicted number of infections (B)
- 7.779
- Number of infections reported (A)
- 8
- SIR (A/B)
- 1.028
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 295
- Number of health care workers
- 360
- Rate of flu vaccination
- 81.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 172
- Number of eligible stays
- 1,509
- Unadjusted potentially preventable readmission rate
- 11.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.32
- Lower limit of the 95% confidence interval on the RSRR
- 8.27
- Upper limit of the 95% confidence interval on the RSRR
- 10.65
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 131
- Number of eligible stays
- 1,731
- Unadjusted potentially preventable readmission rate
- 7.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.19
- Lower limit of the 95% confidence interval on the RSRR
- 5.30
- Upper limit of the 95% confidence interval on the RSRR
- 7.36
- 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)
- 857
- Number of eligible stays
- 1,356
- Observed discharge to community rate
- 63.20
- Risk-standardized discharge to community rate
- 69.25
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.88
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 1,651
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,504
- Denominator
- 1,510
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 1,509
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 280
- Number of health care workers
- 333
- Rate of COVID-19 vaccination
- 84.1