About the Facility
- CMS Certification Number (CCN)
- 103049
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
65 Silver Lane
- Phone Number
- (904) 640-2000
Facility Medical Condition Statistics
- All other conditions
- 115
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 102
- Hip or knee replacement, amputation or other bone or joint condition
- 133
- Nervous system disorder (excluding stroke)
- 245
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 69
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 275
- Predicted number of infections (B)
- 0.297
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 705
- Denominator
- 705
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 596
- Average observed change score
- 14.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.2
- Denominator
- 596
- Average observed change score
- 38.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 418
- Denominator
- 596
- Facility rate
- 70.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 450
- Denominator
- 596
- Facility rate
- 75.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 705
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.135
- SIR 95% confidence interval - upper limit
- 2.663
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,023
- Predicted number of infections (B)
- 2.481
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.806
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 172
- Number of health care workers
- 219
- Rate of flu vaccination
- 78.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 166
- Unadjusted potentially preventable readmission rate
- 12.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.48
- Lower limit of the 95% confidence interval on the RSRR
- 7.55
- Upper limit of the 95% confidence interval on the RSRR
- 12.00
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 182
- Unadjusted potentially preventable readmission rate
- 5.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.07
- Lower limit of the 95% confidence interval on the RSRR
- 3.60
- Upper limit of the 95% confidence interval on the RSRR
- 7.44
- 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)
- 111
- Number of eligible stays
- 163
- Observed discharge to community rate
- 68.10
- Risk-standardized discharge to community rate
- 68.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.31
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 162
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 696
- Denominator
- 705
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 704
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 160
- Number of health care workers
- 197
- Rate of COVID-19 vaccination
- 81.2