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