About the Facility
- CMS Certification Number (CCN)
- 10T307
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
4201 Belfort Rd
- Phone Number
- (904) 296-3700
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- 38
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 20
- Hip or knee replacement, amputation or other bone or joint condition
- 44
- Nervous system disorder (excluding stroke)
- 20
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 48
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
- 171
- Predicted number of infections (B)
- 0.355
- 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
- 260
- Denominator
- 260
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 230
- Average observed change score
- 13.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.5
- Denominator
- 230
- Average observed change score
- 37.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 149
- Denominator
- 230
- Facility rate
- 64.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 178
- Denominator
- 230
- Facility rate
- 77.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 260
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,806
- Predicted number of infections (B)
- 0.716
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 27
- Number of health care workers
- 33
- Rate of flu vaccination
- 81.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- Not Available
- Number of eligible stays
- Not Available
- Unadjusted potentially preventable readmission rate
- Not Available
- Risk-standardized potentially preventable readmission rate (RSRR)
- Not Available
- Lower limit of the 95% confidence interval on the RSRR
- Not Available
- Upper limit of the 95% confidence interval on the RSRR
- Not Available
- Comparative performance category
- Not Available
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- Not Available
- Number of eligible stays
- Not Available
- Unadjusted potentially preventable readmission rate
- Not Available
- Risk-standardized potentially preventable readmission rate (RSRR)
- Not Available
- Lower limit of the 95% confidence interval on the RSRR
- Not Available
- Upper limit of the 95% confidence interval on the RSRR
- Not Available
- Comparative performance category
- Not Available
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- Not Available
- Number of eligible stays
- Not Available
- Observed discharge to community rate
- Not Available
- Risk-standardized discharge to community rate
- Not Available
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- Not Available
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- Not Available
- Comparative performance category
- Not Available
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- Not Available
- Number of eligible episodes
- Not Available
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 259
- Denominator
- 260
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 260
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 28
- Rate of COVID-19 vaccination
- 92.9