About the Facility
- CMS Certification Number (CCN)
- 103043
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2275 Sw 22nd Lane
- Phone Number
- (352) 282-4000
Facility Medical Condition Statistics
- All other conditions
- 336
- Brain disease or condition (non-traumatic)
- 113
- Brain injury (traumatic)
- 59
- Hip or femur fracture
- 123
- Hip or knee replacement, amputation or other bone or joint condition
- 233
- Nervous system disorder (excluding stroke)
- 213
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 203
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
- 1.561
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,775
- Predicted number of infections (B)
- 1.919
- 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
- 1,274
- Denominator
- 1,279
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 1,057
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.8
- Denominator
- 1,057
- Average observed change score
- 31.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 676
- Denominator
- 1,057
- Facility rate
- 64.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 672
- Denominator
- 1,057
- Facility rate
- 63.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 5
- Denominator
- 1,279
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.285
- SIR 95% confidence interval - upper limit
- 1.727
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 20,101
- Predicted number of infections (B)
- 6.417
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.779
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 260
- Number of health care workers
- 388
- Rate of flu vaccination
- 67.0
- 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
- 1,224
- Unadjusted potentially preventable readmission rate
- 10.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.02
- Lower limit of the 95% confidence interval on the RSRR
- 8.66
- Upper limit of the 95% confidence interval on the RSRR
- 11.47
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 104
- Number of eligible stays
- 1,396
- Unadjusted potentially preventable readmission rate
- 7.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.99
- Lower limit of the 95% confidence interval on the RSRR
- 5.65
- Upper limit of the 95% confidence interval on the RSRR
- 8.48
- 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)
- 739
- Number of eligible stays
- 1,104
- Observed discharge to community rate
- 66.94
- Risk-standardized discharge to community rate
- 68.83
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.90
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.43
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,313
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,272
- Denominator
- 1,279
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 22
- Denominator
- 1,273
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 229
- Number of health care workers
- 280
- Rate of COVID-19 vaccination
- 81.8