About the Facility
- CMS Certification Number (CCN)
- 10T032
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
701 6th St South
- Phone Number
- (727) 893-6042
Facility Medical Condition Statistics
- All other conditions
- 109
- Brain disease or condition (non-traumatic)
- 70
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 26
- Hip or knee replacement, amputation or other bone or joint condition
- 58
- Nervous system disorder (excluding stroke)
- 43
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 111
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.036
- SIR 95% confidence interval - upper limit
- 3.533
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 794
- Predicted number of infections (B)
- 1.396
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.716
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 420
- Denominator
- 420
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 378
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.0
- Denominator
- 378
- Average observed change score
- 30.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 216
- Denominator
- 378
- Facility rate
- 57.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 252
- Denominator
- 378
- Facility rate
- 66.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 420
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.010
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,448
- Predicted number of infections (B)
- 2.966
- 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
- 47
- Number of health care workers
- 96
- Rate of flu vaccination
- 49.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 51
- Number of eligible stays
- 474
- Unadjusted potentially preventable readmission rate
- 10.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.61
- Lower limit of the 95% confidence interval on the RSRR
- 8.00
- Upper limit of the 95% confidence interval on the RSRR
- 11.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 508
- Unadjusted potentially preventable readmission rate
- 4.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.91
- Lower limit of the 95% confidence interval on the RSRR
- 3.50
- Upper limit of the 95% confidence interval on the RSRR
- 6.69
- 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)
- 238
- Number of eligible stays
- 408
- Observed discharge to community rate
- 58.33
- Risk-standardized discharge to community rate
- 60.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.90
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.52
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 430
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 410
- Denominator
- 420
- Facility rate
- 97.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 419
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 0
- Number of health care workers
- 25
- Rate of COVID-19 vaccination
- 0.0