Hca Fl Orange Park Hospital Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
10T226
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
1883 Kingsley Ave
Phone Number
(904) 639-1800

Facility Medical Condition Statistics

All other conditions
101
Brain disease or condition (non-traumatic)
39
Brain injury (traumatic)
28
Hip or femur fracture
85
Hip or knee replacement, amputation or other bone or joint condition
69
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
73

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
339
Predicted number of infections (B)
0.497
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
380
Denominator
380
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
17.4
Denominator
326
Average observed change score
18.8
Change in patients ability to move around
Average risk-adjusted change score
45.1
Denominator
326
Average observed change score
44.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
298
Denominator
326
Facility rate
91.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
313
Denominator
326
Facility rate
96.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
380
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.160
Comparative performance category
No Different than the National Benchmark
Patient days
6,533
Predicted number of infections (B)
2.583
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
6
Number of health care workers
34
Rate of flu vaccination
17.6
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
441
Unadjusted potentially preventable readmission rate
10.20
Risk-standardized potentially preventable readmission rate (RSRR)
9.58
Lower limit of the 95% confidence interval on the RSRR
7.77
Upper limit of the 95% confidence interval on the RSRR
11.70
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
23
Number of eligible stays
481
Unadjusted potentially preventable readmission rate
4.78
Risk-standardized potentially preventable readmission rate (RSRR)
4.81
Lower limit of the 95% confidence interval on the RSRR
3.59
Upper limit of the 95% confidence interval on the RSRR
6.07
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)
246
Number of eligible stays
387
Observed discharge to community rate
63.57
Risk-standardized discharge to community rate
65.15
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.76
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.41
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
390
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
379
Denominator
380
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
379
Facility observed rate
2.9
Facility risk-adjusted rate
2.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
21
Number of health care workers
31
Rate of COVID-19 vaccination
67.7