About the Facility
- CMS Certification Number (CCN)
- 10T038
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
3600 Washington Street
- Phone Number
- (954) 518-2902
Facility Medical Condition Statistics
- All other conditions
- 348
- Brain disease or condition (non-traumatic)
- 107
- Brain injury (traumatic)
- 68
- Hip or femur fracture
- 161
- Hip or knee replacement, amputation or other bone or joint condition
- 175
- Nervous system disorder (excluding stroke)
- 128
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 284
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.974
- SIR 95% confidence interval - upper limit
- 4.404
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,907
- Predicted number of infections (B)
- 3.144
- Number of infections reported (A)
- 7
- SIR (A/B)
- 2.226
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,292
- Denominator
- 1,292
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.9
- Denominator
- 1,130
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.0
- Denominator
- 1,130
- Average observed change score
- 29.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 663
- Denominator
- 1,130
- Facility rate
- 58.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 609
- Denominator
- 1,130
- Facility rate
- 53.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,292
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.252
- SIR 95% confidence interval - upper limit
- 1.032
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 27,675
- Predicted number of infections (B)
- 14.727
- Number of infections reported (A)
- 8
- SIR (A/B)
- 0.543
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,103
- Number of health care workers
- 1,161
- Rate of flu vaccination
- 95.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 111
- Number of eligible stays
- 1,260
- Unadjusted potentially preventable readmission rate
- 8.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.67
- Lower limit of the 95% confidence interval on the RSRR
- 7.44
- Upper limit of the 95% confidence interval on the RSRR
- 9.92
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 68
- Number of eligible stays
- 1,394
- Unadjusted potentially preventable readmission rate
- 4.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.75
- Lower limit of the 95% confidence interval on the RSRR
- 3.63
- Upper limit of the 95% confidence interval on the RSRR
- 5.88
- 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)
- 769
- Number of eligible stays
- 1,148
- Observed discharge to community rate
- 66.99
- Risk-standardized discharge to community rate
- 68.99
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.33
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 1,178
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,289
- Denominator
- 1,292
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 1,290
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 951
- Number of health care workers
- 1,052
- Rate of COVID-19 vaccination
- 90.4