About the Facility
- CMS Certification Number (CCN)
- 10TA27
- Ownership Type
- For Profit
- CMS Region
- Atlanta
- Certification Date
- Address
765 W Nasa Blvd
- Phone Number
- (321) 733-5725
Facility Medical Condition Statistics
- All other conditions
- 53
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 25
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 25
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 29
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
- 564
- Predicted number of infections (B)
- 0.815
- 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
- 186
- Denominator
- 186
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.7
- Denominator
- 157
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.9
- Denominator
- 157
- Average observed change score
- 32.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 116
- Denominator
- 157
- Facility rate
- 73.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 92
- Denominator
- 157
- Facility rate
- 58.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 186
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.137
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,055
- Predicted number of infections (B)
- 1.402
- 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
- 21
- Number of health care workers
- 40
- Rate of flu vaccination
- 52.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 132
- Unadjusted potentially preventable readmission rate
- 11.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.93
- Lower limit of the 95% confidence interval on the RSRR
- 7.13
- Upper limit of the 95% confidence interval on the RSRR
- 11.20
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 4
- Number of eligible stays
- 140
- Unadjusted potentially preventable readmission rate
- 2.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.18
- Lower limit of the 95% confidence interval on the RSRR
- 2.70
- Upper limit of the 95% confidence interval on the RSRR
- 6.06
- 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)
- 79
- Number of eligible stays
- 123
- Observed discharge to community rate
- 64.23
- Risk-standardized discharge to community rate
- 65.97
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.94
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 120
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 140
- Denominator
- 186
- Facility rate
- 75.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 185
- Facility observed rate
- 2.7
- Facility risk-adjusted rate
- 2.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 39
- Rate of COVID-19 vaccination
- 79.5