Chi St Vincent Sherwood Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
043031
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
2201 Wildwood Avenue
Phone Number
(501) 834-1800

Facility Medical Condition Statistics

All other conditions
214
Brain disease or condition (non-traumatic)
229
Brain injury (traumatic)
63
Hip or femur fracture
55
Hip or knee replacement, amputation or other bone or joint condition
173
Nervous system disorder (excluding stroke)
481
Spinal cord disease or condition (non-traumatic)
54
Spinal cord injury (traumatic)
24
Stroke
261

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
0.983
Comparative performance category
Better than the National Benchmark
Catheter days
2,823
Predicted number of infections (B)
3.048
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
1,535
Denominator
1,542
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
12.8
Denominator
1,282
Average observed change score
11.6
Change in patients ability to move around
Average risk-adjusted change score
31.1
Denominator
1,283
Average observed change score
28.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
841
Denominator
1,283
Facility rate
65.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
797
Denominator
1,283
Facility rate
62.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
5
Denominator
1,541
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.287
SIR 95% confidence interval - upper limit
1.471
Comparative performance category
No Different than the National Benchmark
Patient days
26,573
Predicted number of infections (B)
8.484
Number of infections reported (A)
6
SIR (A/B)
0.707
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
386
Number of health care workers
442
Rate of flu vaccination
87.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
234
Number of eligible stays
1,748
Unadjusted potentially preventable readmission rate
13.39
Risk-standardized potentially preventable readmission rate (RSRR)
11.11
Lower limit of the 95% confidence interval on the RSRR
9.92
Upper limit of the 95% confidence interval on the RSRR
12.32
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
87
Number of eligible stays
1,912
Unadjusted potentially preventable readmission rate
4.55
Risk-standardized potentially preventable readmission rate (RSRR)
4.53
Lower limit of the 95% confidence interval on the RSRR
3.65
Upper limit of the 95% confidence interval on the RSRR
5.40
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)
934
Number of eligible stays
1,471
Observed discharge to community rate
63.49
Risk-standardized discharge to community rate
64.55
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.00
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.99
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
2,030
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,541
Denominator
1,542
Facility rate
99.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
17
Denominator
1,530
Facility observed rate
1.1
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
288
Number of health care workers
339
Rate of COVID-19 vaccination
85.0