About the Facility
- CMS Certification Number (CCN)
- 10T034
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
Inpatient Rehab Dept.
4300 Alton Road
- Phone Number
- (305) 674-2121
Facility Medical Condition Statistics
- All other conditions
- 199
- Brain disease or condition (non-traumatic)
- 63
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 77
- Hip or knee replacement, amputation or other bone or joint condition
- 76
- Nervous system disorder (excluding stroke)
- 151
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 90
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 608
- Predicted number of infections (B)
- 0.877
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 642
- Denominator
- 642
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 523
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.1
- Denominator
- 523
- Average observed change score
- 31.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 333
- Denominator
- 523
- Facility rate
- 63.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 277
- Denominator
- 523
- Facility rate
- 53.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 642
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.074
- SIR 95% confidence interval - upper limit
- 1.464
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,479
- Predicted number of infections (B)
- 4.512
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.443
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 109
- Number of health care workers
- 119
- Rate of flu vaccination
- 91.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 63
- Number of eligible stays
- 600
- Unadjusted potentially preventable readmission rate
- 10.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.17
- Lower limit of the 95% confidence interval on the RSRR
- 7.56
- Upper limit of the 95% confidence interval on the RSRR
- 10.94
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 34
- Number of eligible stays
- 675
- Unadjusted potentially preventable readmission rate
- 5.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.68
- Lower limit of the 95% confidence interval on the RSRR
- 3.63
- Upper limit of the 95% confidence interval on the RSRR
- 5.96
- 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)
- 377
- Number of eligible stays
- 559
- Observed discharge to community rate
- 67.44
- Risk-standardized discharge to community rate
- 69.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.95
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.70
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 568
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 641
- Denominator
- 642
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 642
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 98
- Number of health care workers
- 108
- Rate of COVID-19 vaccination
- 90.7