About the Facility
- CMS Certification Number (CCN)
- 10T290
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
1451 El Camino Real
- Phone Number
- (352) 751-8593
Facility Medical Condition Statistics
- All other conditions
- 163
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 89
- Nervous system disorder (excluding stroke)
- 24
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 111
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
- 508
- Predicted number of infections (B)
- 0.966
- 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
- 489
- Denominator
- 489
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 428
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.7
- Denominator
- 428
- Average observed change score
- 29.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 235
- Denominator
- 428
- Facility rate
- 54.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 236
- Denominator
- 428
- Facility rate
- 55.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 489
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.896
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,342
- Predicted number of infections (B)
- 2.601
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.384
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 62
- Number of health care workers
- 70
- Rate of flu vaccination
- 88.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 464
- Unadjusted potentially preventable readmission rate
- 8.19
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.61
- Lower limit of the 95% confidence interval on the RSRR
- 7.00
- Upper limit of the 95% confidence interval on the RSRR
- 10.39
- 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
- 503
- Unadjusted potentially preventable readmission rate
- 2.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.90
- Lower limit of the 95% confidence interval on the RSRR
- 2.60
- Upper limit of the 95% confidence interval on the RSRR
- 5.27
- 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)
- 286
- Number of eligible stays
- 397
- Observed discharge to community rate
- 72.04
- Risk-standardized discharge to community rate
- 69.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.31
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.23
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 443
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 482
- Denominator
- 489
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 486
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of COVID-19 vaccination
- Not Available