Encompass Health Rehab Hosp a Partner of Wash Reg


About the Facility

CMS Certification Number (CCN)
043032
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
153 E Monte Painter Drive
Phone Number
(479) 444-2200

Facility Medical Condition Statistics

All other conditions
310
Brain disease or condition (non-traumatic)
110
Brain injury (traumatic)
56
Hip or femur fracture
87
Hip or knee replacement, amputation or other bone or joint condition
200
Nervous system disorder (excluding stroke)
239
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
239

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.166
SIR 95% confidence interval - upper limit
3.261
Comparative performance category
No Different than the National Benchmark
Catheter days
1,875
Predicted number of infections (B)
2.026
Number of infections reported (A)
2
SIR (A/B)
0.987
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,231
Denominator
1,231
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.8
Denominator
1,069
Average observed change score
15.4
Change in patients ability to move around
Average risk-adjusted change score
39.8
Denominator
1,069
Average observed change score
40.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
886
Denominator
1,069
Facility rate
82.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
937
Denominator
1,069
Facility rate
87.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,231
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.354
Comparative performance category
Better than the National Benchmark
Patient days
21,050
Predicted number of infections (B)
8.463
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
308
Number of health care workers
358
Rate of flu vaccination
86.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
114
Number of eligible stays
1,253
Unadjusted potentially preventable readmission rate
9.10
Risk-standardized potentially preventable readmission rate (RSRR)
8.35
Lower limit of the 95% confidence interval on the RSRR
7.37
Upper limit of the 95% confidence interval on the RSRR
9.61
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
52
Number of eligible stays
1,339
Unadjusted potentially preventable readmission rate
3.88
Risk-standardized potentially preventable readmission rate (RSRR)
4.18
Lower limit of the 95% confidence interval on the RSRR
3.48
Upper limit of the 95% confidence interval on the RSRR
5.24
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)
766
Number of eligible stays
1,040
Observed discharge to community rate
73.65
Risk-standardized discharge to community rate
73.26
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.78
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.76
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
1,446
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,228
Denominator
1,231
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
1,224
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
253
Number of health care workers
281
Rate of COVID-19 vaccination
90.0