About the Facility
- CMS Certification Number (CCN)
- 10T236
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
21298 Olean Boulevard
- Phone Number
- (941) 624-8970
Facility Medical Condition Statistics
- All other conditions
- 103
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 27
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 50
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
- 272
- Predicted number of infections (B)
- 0.600
- 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
- 197
- Denominator
- 200
- Facility rate
- 98.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.6
- Denominator
- 169
- Average observed change score
- 15.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.4
- Denominator
- 169
- Average observed change score
- 39.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 136
- Denominator
- 169
- Facility rate
- 80.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 125
- Denominator
- 169
- Facility rate
- 74.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 200
- 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
- 2.341
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,953
- Predicted number of infections (B)
- 1.280
- 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
- 13
- Number of health care workers
- 20
- Rate of flu vaccination
- 65.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 317
- Unadjusted potentially preventable readmission rate
- 13.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.21
- Lower limit of the 95% confidence interval on the RSRR
- 8.28
- Upper limit of the 95% confidence interval on the RSRR
- 12.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 37
- Number of eligible stays
- 383
- Unadjusted potentially preventable readmission rate
- 9.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.17
- Lower limit of the 95% confidence interval on the RSRR
- 5.46
- Upper limit of the 95% confidence interval on the RSRR
- 9.16
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 181
- Number of eligible stays
- 291
- Observed discharge to community rate
- 62.20
- Risk-standardized discharge to community rate
- 64.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.80
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.12
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 305
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 199
- Denominator
- 200
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 200
- Facility observed rate
- 3.5
- Facility risk-adjusted rate
- 3.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 14
- Number of health care workers
- 21
- Rate of COVID-19 vaccination
- 66.7