About the Facility
- CMS Certification Number (CCN)
- 10T167
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
401 Nw 42nd Ave
- Phone Number
- (305) 854-4400
Facility Medical Condition Statistics
- All other conditions
- 158
- Brain disease or condition (non-traumatic)
- 55
- Brain injury (traumatic)
- 31
- Hip or femur fracture
- 117
- Hip or knee replacement, amputation or other bone or joint condition
- 70
- Nervous system disorder (excluding stroke)
- 55
- Spinal cord disease or condition (non-traumatic)
- 19
- 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
- 273
- Predicted number of infections (B)
- 0.393
- 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
- 544
- Denominator
- 544
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.3
- Denominator
- 467
- Average observed change score
- 18.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 43.3
- Denominator
- 467
- Average observed change score
- 43.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 417
- Denominator
- 467
- Facility rate
- 89.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 402
- Denominator
- 467
- Facility rate
- 86.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 544
- 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
- 0.771
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,508
- Predicted number of infections (B)
- 3.887
- 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
- 7
- 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
- 27
- Number of eligible stays
- 221
- Unadjusted potentially preventable readmission rate
- 12.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.71
- Lower limit of the 95% confidence interval on the RSRR
- 7.85
- Upper limit of the 95% confidence interval on the RSRR
- 12.18
- 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
- 245
- Unadjusted potentially preventable readmission rate
- 5.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.76
- Lower limit of the 95% confidence interval on the RSRR
- 3.04
- Upper limit of the 95% confidence interval on the RSRR
- 6.20
- 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)
- 150
- Number of eligible stays
- 213
- Observed discharge to community rate
- 70.42
- Risk-standardized discharge to community rate
- 73.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.28
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.11
- Number of eligible episodes
- 204
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 544
- Denominator
- 544
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 544
- Facility observed rate
- 2.9
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 3
- Number of health care workers
- 7
- Rate of COVID-19 vaccination
- 42.9