About the Facility
- CMS Certification Number (CCN)
- 103045
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
831 S State Rd 434
- Phone Number
- (407) 587-8600
Facility Medical Condition Statistics
- All other conditions
- 415
- Brain disease or condition (non-traumatic)
- 153
- Brain injury (traumatic)
- 38
- Hip or femur fracture
- 116
- Hip or knee replacement, amputation or other bone or joint condition
- 267
- Nervous system disorder (excluding stroke)
- 377
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 167
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.030
- SIR 95% confidence interval - upper limit
- 2.953
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,546
- Predicted number of infections (B)
- 1.670
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.599
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,543
- Denominator
- 1,545
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 1,376
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.6
- Denominator
- 1,376
- Average observed change score
- 29.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 896
- Denominator
- 1,376
- Facility rate
- 65.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 874
- Denominator
- 1,376
- Facility rate
- 63.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,545
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.154
- SIR 95% confidence interval - upper limit
- 0.932
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 24,529
- Predicted number of infections (B)
- 11.885
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.421
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 221
- Number of health care workers
- 441
- Rate of flu vaccination
- 50.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 235
- Number of eligible stays
- 1,815
- Unadjusted potentially preventable readmission rate
- 12.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.48
- Lower limit of the 95% confidence interval on the RSRR
- 9.44
- Upper limit of the 95% confidence interval on the RSRR
- 11.69
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 81
- Number of eligible stays
- 1,965
- Unadjusted potentially preventable readmission rate
- 4.12
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.93
- Lower limit of the 95% confidence interval on the RSRR
- 3.32
- Upper limit of the 95% confidence interval on the RSRR
- 4.90
- 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)
- 979
- Number of eligible stays
- 1,512
- Observed discharge to community rate
- 64.75
- Risk-standardized discharge to community rate
- 68.87
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.40
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.29
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 1,959
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,538
- Denominator
- 1,545
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 1,542
- 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
- 299
- Number of health care workers
- 343
- Rate of COVID-19 vaccination
- 87.2