About the Facility
- CMS Certification Number (CCN)
- 10T017
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
350 N. Clyde Morris Blvd
- Phone Number
- (386) 254-4000
Facility Medical Condition Statistics
- All other conditions
- 185
- Brain disease or condition (non-traumatic)
- 52
- Brain injury (traumatic)
- 46
- Hip or femur fracture
- 62
- Hip or knee replacement, amputation or other bone or joint condition
- 136
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 153
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
- 2.108
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 651
- Predicted number of infections (B)
- 1.421
- 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
- 670
- Denominator
- 675
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 580
- Average observed change score
- 16.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.4
- Denominator
- 580
- Average observed change score
- 31.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 406
- Denominator
- 580
- Facility rate
- 70.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 301
- Denominator
- 580
- Facility rate
- 51.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 675
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.612
- SIR 95% confidence interval - upper limit
- 2.766
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,043
- Predicted number of infections (B)
- 5.006
- Number of infections reported (A)
- 7
- SIR (A/B)
- 1.398
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 740
- Number of health care workers
- 1,657
- Rate of flu vaccination
- 44.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 54
- Number of eligible stays
- 640
- Unadjusted potentially preventable readmission rate
- 8.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.93
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 10.97
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 38
- Number of eligible stays
- 710
- Unadjusted potentially preventable readmission rate
- 5.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.85
- Lower limit of the 95% confidence interval on the RSRR
- 3.55
- Upper limit of the 95% confidence interval on the RSRR
- 6.21
- 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)
- 356
- Number of eligible stays
- 559
- Observed discharge to community rate
- 63.69
- Risk-standardized discharge to community rate
- 66.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.69
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.24
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 566
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 672
- Denominator
- 675
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 673
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 956
- Number of health care workers
- 1,173
- Rate of COVID-19 vaccination
- 81.5