About the Facility
- CMS Certification Number (CCN)
- 10T161
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1401 W Seminole Blvd
- Phone Number
- (407) 562-0924
Facility Medical Condition Statistics
- All other conditions
- 84
- Brain disease or condition (non-traumatic)
- 18
- Brain injury (traumatic)
- 38
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 73
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 57
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
- 337
- Predicted number of infections (B)
- 0.487
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 365
- Denominator
- 366
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.5
- Denominator
- 319
- Average observed change score
- 16.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.7
- Denominator
- 319
- Average observed change score
- 41.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 237
- Denominator
- 319
- Facility rate
- 74.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 272
- Denominator
- 319
- Facility rate
- 85.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 366
- 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
- 0.963
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 5,846
- Predicted number of infections (B)
- 3.111
- 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
- 0
- Number of health care workers
- 3
- Rate of flu vaccination
- 0.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 315
- Unadjusted potentially preventable readmission rate
- 8.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.12
- Lower limit of the 95% confidence interval on the RSRR
- 7.22
- Upper limit of the 95% confidence interval on the RSRR
- 11.21
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 340
- Unadjusted potentially preventable readmission rate
- 4.12
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.76
- Lower limit of the 95% confidence interval on the RSRR
- 3.46
- Upper limit of the 95% confidence interval on the RSRR
- 6.49
- 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)
- 192
- Number of eligible stays
- 271
- Observed discharge to community rate
- 70.85
- Risk-standardized discharge to community rate
- 69.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.36
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.95
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 282
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 362
- Denominator
- 366
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 366
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 11
- Number of health care workers
- 21
- Rate of COVID-19 vaccination
- 52.4