About the Facility
- CMS Certification Number (CCN)
- 10TA15
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
801 Oak St
- Phone Number
- (904) 284-9230
Facility Medical Condition Statistics
- All other conditions
- 49
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- 26
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 23
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
- 415
- Predicted number of infections (B)
- 0.600
- 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
- 136
- Denominator
- 136
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.5
- Denominator
- 112
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.8
- Denominator
- 112
- Average observed change score
- 33.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 89
- Denominator
- 112
- Facility rate
- 79.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 72
- Denominator
- 112
- Facility rate
- 64.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 136
- Facility rate
- 0.7
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.719
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,525
- Predicted number of infections (B)
- 1.102
- 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
- 16
- Number of health care workers
- 18
- Rate of flu vaccination
- 88.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 137
- Unadjusted potentially preventable readmission rate
- 16.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.02
- Lower limit of the 95% confidence interval on the RSRR
- 7.29
- Upper limit of the 95% confidence interval on the RSRR
- 11.00
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 151
- Unadjusted potentially preventable readmission rate
- 5.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.26
- Lower limit of the 95% confidence interval on the RSRR
- 3.22
- Upper limit of the 95% confidence interval on the RSRR
- 5.73
- 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)
- 66
- Number of eligible stays
- 120
- Observed discharge to community rate
- 55.00
- Risk-standardized discharge to community rate
- 64.97
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.51
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 128
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 127
- Denominator
- 136
- Facility rate
- 93.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 136
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 123
- Number of health care workers
- 124
- Rate of COVID-19 vaccination
- 99.2