About the Facility
- CMS Certification Number (CCN)
- 10T007
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
601 E Rollins St
- Phone Number
- (407) 303-7167
Facility Medical Condition Statistics
- All other conditions
- 280
- Brain disease or condition (non-traumatic)
- 86
- Brain injury (traumatic)
- 51
- Hip or femur fracture
- 142
- Hip or knee replacement, amputation or other bone or joint condition
- 168
- Nervous system disorder (excluding stroke)
- 48
- Spinal cord disease or condition (non-traumatic)
- 50
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 304
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.026
- SIR 95% confidence interval - upper limit
- 2.527
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 856
- Predicted number of infections (B)
- 1.952
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.512
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,122
- Denominator
- 1,124
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.2
- Denominator
- 967
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.4
- Denominator
- 967
- Average observed change score
- 28.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 393
- Denominator
- 967
- Facility rate
- 40.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 445
- Denominator
- 967
- Facility rate
- 46.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,124
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.199
- SIR 95% confidence interval - upper limit
- 1.201
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,428
- Predicted number of infections (B)
- 9.225
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.542
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 467
- Number of health care workers
- 573
- Rate of flu vaccination
- 81.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 102
- Number of eligible stays
- 1,028
- Unadjusted potentially preventable readmission rate
- 9.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.55
- Lower limit of the 95% confidence interval on the RSRR
- 8.17
- Upper limit of the 95% confidence interval on the RSRR
- 10.99
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 83
- Number of eligible stays
- 1,177
- Unadjusted potentially preventable readmission rate
- 7.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.45
- Lower limit of the 95% confidence interval on the RSRR
- 5.10
- Upper limit of the 95% confidence interval on the RSRR
- 7.45
- 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)
- 571
- Number of eligible stays
- 960
- Observed discharge to community rate
- 59.48
- Risk-standardized discharge to community rate
- 61.51
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.73
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.21
- Number of eligible episodes
- 963
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,117
- Denominator
- 1,124
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 25
- Denominator
- 1,122
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 2.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 191
- Number of health care workers
- 211
- Rate of COVID-19 vaccination
- 90.5