About the Facility
- CMS Certification Number (CCN)
- 103044
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
5850 Se Community Dr
- Phone Number
- (772) 324-3500
Facility Medical Condition Statistics
- All other conditions
- 581
- Brain disease or condition (non-traumatic)
- 205
- Brain injury (traumatic)
- 103
- Hip or femur fracture
- 268
- Hip or knee replacement, amputation or other bone or joint condition
- 398
- Nervous system disorder (excluding stroke)
- 260
- Spinal cord disease or condition (non-traumatic)
- 71
- Spinal cord injury (traumatic)
- 13
- Stroke
- 342
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
- 1.261
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,199
- Predicted number of infections (B)
- 2.376
- 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
- 2,200
- Denominator
- 2,200
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 1,968
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.6
- Denominator
- 1,968
- Average observed change score
- 31.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,210
- Denominator
- 1,968
- Facility rate
- 61.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,116
- Denominator
- 1,968
- Facility rate
- 56.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 2,200
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.563
- SIR 95% confidence interval - upper limit
- 1.975
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 28,265
- Predicted number of infections (B)
- 9.024
- Number of infections reported (A)
- 10
- SIR (A/B)
- 1.108
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 314
- Number of health care workers
- 457
- Rate of flu vaccination
- 68.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 300
- Number of eligible stays
- 2,555
- Unadjusted potentially preventable readmission rate
- 11.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.46
- Lower limit of the 95% confidence interval on the RSRR
- 10.35
- Upper limit of the 95% confidence interval on the RSRR
- 12.74
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 138
- Number of eligible stays
- 2,767
- Unadjusted potentially preventable readmission rate
- 4.99
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.23
- Lower limit of the 95% confidence interval on the RSRR
- 4.37
- Upper limit of the 95% confidence interval on the RSRR
- 6.33
- 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)
- 1,541
- Number of eligible stays
- 2,224
- Observed discharge to community rate
- 69.29
- Risk-standardized discharge to community rate
- 69.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.39
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 2,646
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 2,197
- Denominator
- 2,200
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 2,199
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 296
- Number of health care workers
- 363
- Rate of COVID-19 vaccination
- 81.5