About the Facility
- CMS Certification Number (CCN)
- 10T012
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
2776 Cleveland Ave
- Phone Number
- (239) 343-3901
Facility Medical Condition Statistics
- All other conditions
- 152
- Brain disease or condition (non-traumatic)
- 60
- Brain injury (traumatic)
- 57
- Hip or femur fracture
- 64
- Hip or knee replacement, amputation or other bone or joint condition
- 105
- Nervous system disorder (excluding stroke)
- 57
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 283
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
- 1.578
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 999
- Predicted number of infections (B)
- 1.899
- 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
- 796
- Denominator
- 796
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.8
- Denominator
- 692
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.1
- Denominator
- 692
- Average observed change score
- 34.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 480
- Denominator
- 692
- Facility rate
- 69.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 425
- Denominator
- 692
- Facility rate
- 61.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 796
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.060
- SIR 95% confidence interval - upper limit
- 1.188
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,709
- Predicted number of infections (B)
- 5.562
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.360
- 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
- 137
- Rate of flu vaccination
- 98.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 35
- Number of eligible stays
- 796
- Unadjusted potentially preventable readmission rate
- 4.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.01
- Lower limit of the 95% confidence interval on the RSRR
- 5.72
- Upper limit of the 95% confidence interval on the RSRR
- 8.66
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 862
- Unadjusted potentially preventable readmission rate
- 3.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.24
- Lower limit of the 95% confidence interval on the RSRR
- 3.00
- Upper limit of the 95% confidence interval on the RSRR
- 5.57
- 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)
- 522
- Number of eligible stays
- 713
- Observed discharge to community rate
- 73.21
- Risk-standardized discharge to community rate
- 71.73
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.90
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.74
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 753
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 790
- Denominator
- 796
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 796
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 124
- Number of health care workers
- 149
- Rate of COVID-19 vaccination
- 83.2