About the Facility
- CMS Certification Number (CCN)
- 10T213
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2020 59th St W
- Phone Number
- (941) 798-6192
Facility Medical Condition Statistics
- All other conditions
- 114
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 42
- Hip or femur fracture
- 84
- Hip or knee replacement, amputation or other bone or joint condition
- 81
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 127
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
- 390
- Predicted number of infections (B)
- 0.707
- 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
- 399
- Denominator
- 400
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 361
- Average observed change score
- 16.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.9
- Denominator
- 361
- Average observed change score
- 40.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 287
- Denominator
- 361
- Facility rate
- 79.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 282
- Denominator
- 361
- Facility rate
- 78.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 400
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.131
- SIR 95% confidence interval - upper limit
- 2.584
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,755
- Predicted number of infections (B)
- 2.557
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.782
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 178
- Number of health care workers
- 513
- Rate of flu vaccination
- 34.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 45
- Number of eligible stays
- 543
- Unadjusted potentially preventable readmission rate
- 8.29
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.02
- Lower limit of the 95% confidence interval on the RSRR
- 7.42
- Upper limit of the 95% confidence interval on the RSRR
- 10.92
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 29
- Number of eligible stays
- 601
- Unadjusted potentially preventable readmission rate
- 4.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.08
- Lower limit of the 95% confidence interval on the RSRR
- 3.89
- Upper limit of the 95% confidence interval on the RSRR
- 7.01
- 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)
- 353
- Number of eligible stays
- 494
- Observed discharge to community rate
- 71.46
- Risk-standardized discharge to community rate
- 69.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.40
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.01
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 515
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 400
- Denominator
- 400
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 400
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 301
- Number of health care workers
- 517
- Rate of COVID-19 vaccination
- 58.2