Encompass Health Rehabilitation Institute of Tucso


About the Facility

CMS Certification Number (CCN)
033028
Ownership Type
For Profit
CMS Region
San Francisco
Certification Date
Address
2650 North Wyatt Drive
Phone Number
(520) 325-1300

Facility Medical Condition Statistics

All other conditions
438
Brain disease or condition (non-traumatic)
132
Brain injury (traumatic)
171
Hip or femur fracture
243
Hip or knee replacement, amputation or other bone or joint condition
453
Nervous system disorder (excluding stroke)
188
Spinal cord disease or condition (non-traumatic)
120
Spinal cord injury (traumatic)
25
Stroke
471

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
1.282
Comparative performance category
No Different than the National Benchmark
Catheter days
1,508
Predicted number of infections (B)
2.336
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,219
Denominator
1,222
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
1,052
Average observed change score
13.5
Change in patients ability to move around
Average risk-adjusted change score
35.3
Denominator
1,053
Average observed change score
35.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
765
Denominator
1,053
Facility rate
72.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
749
Denominator
1,053
Facility rate
71.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,222
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.297
SIR 95% confidence interval - upper limit
1.342
Comparative performance category
No Different than the National Benchmark
Patient days
20,444
Predicted number of infections (B)
10.317
Number of infections reported (A)
7
SIR (A/B)
0.679
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
376
Number of health care workers
425
Rate of flu vaccination
88.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
76
Number of eligible stays
1,190
Unadjusted potentially preventable readmission rate
6.39
Risk-standardized potentially preventable readmission rate (RSRR)
7.89
Lower limit of the 95% confidence interval on the RSRR
6.71
Upper limit of the 95% confidence interval on the RSRR
9.36
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
65
Number of eligible stays
1,339
Unadjusted potentially preventable readmission rate
4.85
Risk-standardized potentially preventable readmission rate (RSRR)
5.45
Lower limit of the 95% confidence interval on the RSRR
4.43
Upper limit of the 95% confidence interval on the RSRR
7.10
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)
737
Number of eligible stays
1,052
Observed discharge to community rate
70.06
Risk-standardized discharge to community rate
67.28
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.81
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.56
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
1,251
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,193
Denominator
1,222
Facility rate
97.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
1,218
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
352
Number of health care workers
387
Rate of COVID-19 vaccination
91.0