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