About the Facility
- CMS Certification Number (CCN)
- 10T086
- Ownership Type
- Government
- CMS Region
- Atlanta
- Certification Date
- Address
201 East Sample Road
- Phone Number
- (954) 786-6445
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- 49
- Brain injury (traumatic)
- 33
- Hip or femur fracture
- 62
- Hip or knee replacement, amputation or other bone or joint condition
- 67
- Nervous system disorder (excluding stroke)
- 42
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 92
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
- 212
- Predicted number of infections (B)
- 0.439
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 397
- Denominator
- 397
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.4
- Denominator
- 335
- Average observed change score
- 15.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.7
- Denominator
- 335
- Average observed change score
- 39.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 255
- Denominator
- 335
- Facility rate
- 76.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 246
- Denominator
- 335
- Facility rate
- 73.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 397
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.581
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,207
- Predicted number of infections (B)
- 5.154
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 53
- Number of health care workers
- 69
- Rate of flu vaccination
- 76.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 47
- Number of eligible stays
- 445
- Unadjusted potentially preventable readmission rate
- 10.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.16
- Lower limit of the 95% confidence interval on the RSRR
- 8.31
- Upper limit of the 95% confidence interval on the RSRR
- 12.44
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 498
- Unadjusted potentially preventable readmission rate
- 5.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.62
- Lower limit of the 95% confidence interval on the RSRR
- 4.16
- Upper limit of the 95% confidence interval on the RSRR
- 7.22
- 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)
- 249
- Number of eligible stays
- 409
- Observed discharge to community rate
- 60.88
- Risk-standardized discharge to community rate
- 61.30
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.99
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.37
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 425
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 394
- Denominator
- 397
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 396
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 39
- Rate of COVID-19 vaccination
- 89.7