About the Facility
- CMS Certification Number (CCN)
- 10T073
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
4725 North Federal Highway
- Phone Number
- (954) 776-3075
Facility Medical Condition Statistics
- All other conditions
- 171
- Brain disease or condition (non-traumatic)
- 102
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 92
- Hip or knee replacement, amputation or other bone or joint condition
- 99
- Nervous system disorder (excluding stroke)
- 179
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 115
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.258
- SIR 95% confidence interval - upper limit
- 2.758
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,050
- Predicted number of infections (B)
- 2.960
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.014
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 797
- Denominator
- 797
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.6
- Denominator
- 664
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.4
- Denominator
- 664
- Average observed change score
- 23.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 241
- Denominator
- 664
- Facility rate
- 36.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 195
- Denominator
- 664
- Facility rate
- 29.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 797
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.132
- SIR 95% confidence interval - upper limit
- 1.407
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,628
- Predicted number of infections (B)
- 5.803
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.517
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 151
- Number of health care workers
- 249
- Rate of flu vaccination
- 60.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 58
- Number of eligible stays
- 760
- Unadjusted potentially preventable readmission rate
- 7.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.11
- Lower limit of the 95% confidence interval on the RSRR
- 6.78
- Upper limit of the 95% confidence interval on the RSRR
- 9.83
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 67
- Number of eligible stays
- 887
- Unadjusted potentially preventable readmission rate
- 7.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.83
- Lower limit of the 95% confidence interval on the RSRR
- 5.62
- Upper limit of the 95% confidence interval on the RSRR
- 8.33
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 393
- Number of eligible stays
- 705
- Observed discharge to community rate
- 55.74
- Risk-standardized discharge to community rate
- 57.77
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.27
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.16
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 772
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 756
- Denominator
- 797
- Facility rate
- 94.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 37
- Denominator
- 788
- Facility observed rate
- 4.7
- Facility risk-adjusted rate
- 4.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 77
- Number of health care workers
- 77
- Rate of COVID-19 vaccination
- 100.0