About the Facility
- CMS Certification Number (CCN)
- 10T246
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
1860 N. Lawnwood Cir.
- Phone Number
- (772) 467-3903
Facility Medical Condition Statistics
- All other conditions
- 194
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- 68
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 75
- Nervous system disorder (excluding stroke)
- 50
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- 15
- Stroke
- 110
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
- 368
- Predicted number of infections (B)
- 0.530
- 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
- 664
- Denominator
- 664
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.5
- Denominator
- 539
- Average observed change score
- 17.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 42.4
- Denominator
- 539
- Average observed change score
- 46.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 454
- Denominator
- 539
- Facility rate
- 84.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 460
- Denominator
- 539
- Facility rate
- 85.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 664
- 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
- 0.442
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 13,547
- Predicted number of infections (B)
- 6.773
- 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
- 17
- Number of health care workers
- 88
- Rate of flu vaccination
- 19.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 101
- Number of eligible stays
- 868
- Unadjusted potentially preventable readmission rate
- 11.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.27
- Lower limit of the 95% confidence interval on the RSRR
- 8.73
- Upper limit of the 95% confidence interval on the RSRR
- 11.88
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 75
- Number of eligible stays
- 993
- Unadjusted potentially preventable readmission rate
- 7.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.45
- Lower limit of the 95% confidence interval on the RSRR
- 5.18
- Upper limit of the 95% confidence interval on the RSRR
- 7.87
- 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)
- 467
- Number of eligible stays
- 823
- Observed discharge to community rate
- 56.74
- Risk-standardized discharge to community rate
- 60.01
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.76
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.21
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.13
- Number of eligible episodes
- 806
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 660
- Denominator
- 664
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 663
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 69
- Number of health care workers
- 95
- Rate of COVID-19 vaccination
- 72.6