About the Facility
- CMS Certification Number (CCN)
- 10T068
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
301 Memorial Medical Pkwy
- Phone Number
- (386) 547-3838
Facility Medical Condition Statistics
- All other conditions
- 174
- Brain disease or condition (non-traumatic)
- 45
- Brain injury (traumatic)
- 37
- Hip or femur fracture
- 77
- Hip or knee replacement, amputation or other bone or joint condition
- 70
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 79
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 121
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.306
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 721
- Predicted number of infections (B)
- 1.492
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.670
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 614
- Denominator
- 614
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 544
- Average observed change score
- 12.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.0
- Denominator
- 547
- Average observed change score
- 27.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 273
- Denominator
- 547
- Facility rate
- 49.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 190
- Denominator
- 547
- Facility rate
- 34.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 614
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.223
- SIR 95% confidence interval - upper limit
- 1.692
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,708
- Predicted number of infections (B)
- 5.703
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.701
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 20
- Number of health care workers
- 36
- Rate of flu vaccination
- 55.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 62
- Number of eligible stays
- 683
- Unadjusted potentially preventable readmission rate
- 9.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.34
- Lower limit of the 95% confidence interval on the RSRR
- 6.99
- Upper limit of the 95% confidence interval on the RSRR
- 9.84
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 724
- Unadjusted potentially preventable readmission rate
- 3.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.38
- Lower limit of the 95% confidence interval on the RSRR
- 2.62
- Upper limit of the 95% confidence interval on the RSRR
- 4.42
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 420
- Number of eligible stays
- 562
- Observed discharge to community rate
- 74.73
- Risk-standardized discharge to community rate
- 75.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.37
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.48
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 618
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 607
- Denominator
- 614
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 613
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 75
- Number of health care workers
- 92
- Rate of COVID-19 vaccination
- 81.5