Palms of Pasadena Hospital


About the Facility

CMS Certification Number (CCN)
10T126
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1501 Pasadena Ave S
Phone Number
(727) 341-7638

Facility Medical Condition Statistics

All other conditions
68
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
39
Hip or knee replacement, amputation or other bone or joint condition
41
Nervous system disorder (excluding stroke)
18
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
42

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
372
Predicted number of infections (B)
0.536
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
223
Denominator
223
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.3
Denominator
196
Average observed change score
16.4
Change in patients ability to move around
Average risk-adjusted change score
40.4
Denominator
196
Average observed change score
41.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
168
Denominator
196
Facility rate
85.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
181
Denominator
196
Facility rate
92.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
223
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
2.367
Comparative performance category
No Different than the National Benchmark
Patient days
3,322
Predicted number of infections (B)
1.266
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
11
Number of health care workers
15
Rate of flu vaccination
73.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
34
Number of eligible stays
291
Unadjusted potentially preventable readmission rate
11.68
Risk-standardized potentially preventable readmission rate (RSRR)
9.78
Lower limit of the 95% confidence interval on the RSRR
7.82
Upper limit of the 95% confidence interval on the RSRR
12.13
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
13
Number of eligible stays
318
Unadjusted potentially preventable readmission rate
4.09
Risk-standardized potentially preventable readmission rate (RSRR)
4.63
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
6.10
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)
154
Number of eligible stays
251
Observed discharge to community rate
61.35
Risk-standardized discharge to community rate
61.14
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.19
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.93
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
259
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
223
Denominator
223
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
222
Facility observed rate
1.4
Facility risk-adjusted rate
1.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
5
Number of health care workers
16
Rate of COVID-19 vaccination
31.3