About the Facility
- CMS Certification Number (CCN)
- 10T057
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1000 Waterman Way
- Phone Number
- (352) 253-3300
Facility Medical Condition Statistics
- All other conditions
- 61
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 39
- Hip or knee replacement, amputation or other bone or joint condition
- 31
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 23
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 69
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
- 230
- Predicted number of infections (B)
- 0.477
- 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
- 270
- Denominator
- 271
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 252
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.3
- Denominator
- 252
- Average observed change score
- 27.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 176
- Denominator
- 252
- Facility rate
- 69.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 102
- Denominator
- 252
- Facility rate
- 40.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 271
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.322
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,583
- Predicted number of infections (B)
- 1.485
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.674
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 54
- Rate of flu vaccination
- 70.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 285
- Unadjusted potentially preventable readmission rate
- 6.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.36
- Lower limit of the 95% confidence interval on the RSRR
- 6.60
- Upper limit of the 95% confidence interval on the RSRR
- 10.63
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 301
- Unadjusted potentially preventable readmission rate
- 3.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.75
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 6.65
- 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)
- 195
- Number of eligible stays
- 260
- Observed discharge to community rate
- 75.00
- Risk-standardized discharge to community rate
- 68.57
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.34
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.46
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 267
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 247
- Denominator
- 271
- Facility rate
- 91.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 271
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 24
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 80.0