About the Facility
- CMS Certification Number (CCN)
- 10T110
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
700 W Oak St
- Phone Number
- (407) 518-5208
Facility Medical Condition Statistics
- All other conditions
- 124
- Brain disease or condition (non-traumatic)
- 27
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 125
- Hip or knee replacement, amputation or other bone or joint condition
- 107
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 83
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
- 388
- Predicted number of infections (B)
- 0.678
- 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
- 452
- Denominator
- 453
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.8
- Denominator
- 397
- Average observed change score
- 17.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.0
- Denominator
- 397
- Average observed change score
- 39.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 344
- Denominator
- 397
- Facility rate
- 86.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 318
- Denominator
- 397
- Facility rate
- 80.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 453
- 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
- 0.486
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 14,651
- Predicted number of infections (B)
- 6.164
- 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
- 71
- Number of health care workers
- 333
- Rate of flu vaccination
- 21.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 461
- Unadjusted potentially preventable readmission rate
- 9.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.56
- Lower limit of the 95% confidence interval on the RSRR
- 7.76
- Upper limit of the 95% confidence interval on the RSRR
- 11.62
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 23
- Number of eligible stays
- 506
- Unadjusted potentially preventable readmission rate
- 4.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.81
- Lower limit of the 95% confidence interval on the RSRR
- 3.47
- Upper limit of the 95% confidence interval on the RSRR
- 6.57
- 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)
- 264
- Number of eligible stays
- 411
- Observed discharge to community rate
- 64.23
- Risk-standardized discharge to community rate
- 67.10
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.43
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 424
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 453
- Denominator
- 453
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 453
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 22
- Number of health care workers
- 36
- Rate of COVID-19 vaccination
- 61.1