About the Facility
- CMS Certification Number (CCN)
- 10T248
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
2025 Indian Rocks Road
- Phone Number
- (727) 586-7146
Facility Medical Condition Statistics
- All other conditions
- 127
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 34
- Nervous system disorder (excluding stroke)
- 31
- Spinal cord disease or condition (non-traumatic)
- 35
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 91
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
- 2.534
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 487
- Predicted number of infections (B)
- 1.182
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 396
- Denominator
- 396
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 312
- Average observed change score
- 16.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.1
- Denominator
- 312
- Average observed change score
- 36.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 263
- Denominator
- 312
- Facility rate
- 84.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 258
- Denominator
- 312
- Facility rate
- 82.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 396
- 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
- 0.728
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 7,203
- Predicted number of infections (B)
- 4.117
- 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
- 42
- Number of health care workers
- 72
- Rate of flu vaccination
- 58.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 32
- Number of eligible stays
- 447
- Unadjusted potentially preventable readmission rate
- 7.16
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.89
- Lower limit of the 95% confidence interval on the RSRR
- 6.28
- Upper limit of the 95% confidence interval on the RSRR
- 9.69
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 515
- Unadjusted potentially preventable readmission rate
- 7.77
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.99
- Lower limit of the 95% confidence interval on the RSRR
- 5.10
- Upper limit of the 95% confidence interval on the RSRR
- 9.42
- 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)
- 231
- Number of eligible stays
- 408
- Observed discharge to community rate
- 56.62
- Risk-standardized discharge to community rate
- 57.27
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.33
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.42
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 412
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 396
- Denominator
- 396
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 394
- Facility observed rate
- 2.5
- Facility risk-adjusted rate
- 2.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 62
- Number of health care workers
- 68
- Rate of COVID-19 vaccination
- 91.2