About the Facility
- CMS Certification Number (CCN)
- 10T006
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1414 Kuhl Ave
- Phone Number
- (321) 841-4165
Facility Medical Condition Statistics
- All other conditions
- 118
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 50
- Hip or femur fracture
- 32
- Hip or knee replacement, amputation or other bone or joint condition
- 122
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- 14
- Stroke
- 158
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
- 323
- Predicted number of infections (B)
- 0.879
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 562
- Denominator
- 562
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 486
- Average observed change score
- 12.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.3
- Denominator
- 486
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 277
- Denominator
- 486
- Facility rate
- 57.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 302
- Denominator
- 486
- Facility rate
- 62.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 562
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.628
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 12,380
- Predicted number of infections (B)
- 4.770
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 135
- Number of health care workers
- 210
- Rate of flu vaccination
- 64.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 41
- Number of eligible stays
- 437
- Unadjusted potentially preventable readmission rate
- 9.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.68
- Lower limit of the 95% confidence interval on the RSRR
- 7.91
- Upper limit of the 95% confidence interval on the RSRR
- 11.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 20
- Number of eligible stays
- 473
- Unadjusted potentially preventable readmission rate
- 4.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.66
- Lower limit of the 95% confidence interval on the RSRR
- 3.39
- Upper limit of the 95% confidence interval on the RSRR
- 6.75
- 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)
- 261
- Number of eligible stays
- 374
- Observed discharge to community rate
- 69.79
- Risk-standardized discharge to community rate
- 69.44
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.32
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.23
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 393
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 558
- Denominator
- 562
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 561
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 352
- Number of health care workers
- 481
- Rate of COVID-19 vaccination
- 73.2