About the Facility
- CMS Certification Number (CCN)
- 10T022
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
1611 N.w. 12 Avenue
- Phone Number
- (305) 585-7292
Facility Medical Condition Statistics
- All other conditions
- 273
- Brain disease or condition (non-traumatic)
- 77
- Brain injury (traumatic)
- 55
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 300
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 64
- Spinal cord injury (traumatic)
- 12
- Stroke
- 206
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
- 1.888
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,025
- Predicted number of infections (B)
- 1.587
- 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
- 1,085
- Denominator
- 1,085
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 960
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.3
- Denominator
- 960
- Average observed change score
- 30.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 519
- Denominator
- 960
- Facility rate
- 54.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 467
- Denominator
- 960
- Facility rate
- 48.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,085
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.079
- SIR 95% confidence interval - upper limit
- 0.840
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 25,796
- Predicted number of infections (B)
- 9.720
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.309
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 179
- Number of health care workers
- 312
- Rate of flu vaccination
- 57.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 56
- Number of eligible stays
- 724
- Unadjusted potentially preventable readmission rate
- 7.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 7.45
- Upper limit of the 95% confidence interval on the RSRR
- 10.60
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 35
- Number of eligible stays
- 798
- Unadjusted potentially preventable readmission rate
- 4.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.85
- Lower limit of the 95% confidence interval on the RSRR
- 3.84
- Upper limit of the 95% confidence interval on the RSRR
- 6.12
- 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)
- 453
- Number of eligible stays
- 662
- Observed discharge to community rate
- 68.43
- Risk-standardized discharge to community rate
- 67.52
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.57
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.54
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 746
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,066
- Denominator
- 1,085
- Facility rate
- 98.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 61
- Denominator
- 1,084
- Facility observed rate
- 5.6
- Facility risk-adjusted rate
- 5.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 313
- Number of health care workers
- 345
- Rate of COVID-19 vaccination
- 90.7