About the Facility
- CMS Certification Number (CCN)
- 10T288
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
St. Mary's Medical Center
901 45th Street
- Phone Number
- (561) 841-9409
Facility Medical Condition Statistics
- All other conditions
- 13
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 11
- Hip or knee replacement, amputation or other bone or joint condition
- 32
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 69
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
- 96
- Predicted number of infections (B)
- 0.262
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 160
- Denominator
- 161
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.8
- Denominator
- 142
- Average observed change score
- 9.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.3
- Denominator
- 142
- Average observed change score
- 25.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 49
- Denominator
- 142
- Facility rate
- 34.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 50
- Denominator
- 142
- Facility rate
- 35.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 161
- 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
- 1.653
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,295
- Predicted number of infections (B)
- 1.812
- 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
- 156
- Number of health care workers
- 624
- Rate of flu vaccination
- 25.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 192
- Unadjusted potentially preventable readmission rate
- 5.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.65
- Lower limit of the 95% confidence interval on the RSRR
- 6.76
- Upper limit of the 95% confidence interval on the RSRR
- 11.32
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 210
- Unadjusted potentially preventable readmission rate
- 7.14
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.34
- Lower limit of the 95% confidence interval on the RSRR
- 4.49
- Upper limit of the 95% confidence interval on the RSRR
- 9.37
- 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)
- 120
- Number of eligible stays
- 167
- Observed discharge to community rate
- 71.86
- Risk-standardized discharge to community rate
- 67.46
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.72
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.22
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 167
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 159
- Denominator
- 161
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 161
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 674
- Number of health care workers
- 878
- Rate of COVID-19 vaccination
- 76.8