Conway Regional Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
043033
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
2210 Robinson Street
Phone Number
(501) 932-3500

Facility Medical Condition Statistics

All other conditions
145
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
11
Hip or femur fracture
42
Hip or knee replacement, amputation or other bone or joint condition
33
Nervous system disorder (excluding stroke)
15
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
37

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
369
Predicted number of infections (B)
0.398
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
301
Denominator
301
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.7
Denominator
265
Average observed change score
16.6
Change in patients ability to move around
Average risk-adjusted change score
28.4
Denominator
265
Average observed change score
33.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
211
Denominator
265
Facility rate
79.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
128
Denominator
265
Facility rate
48.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
301
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.038
SIR 95% confidence interval - upper limit
3.712
Comparative performance category
No Different than the National Benchmark
Patient days
4,378
Predicted number of infections (B)
1.329
Number of infections reported (A)
1
SIR (A/B)
0.753
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
56
Number of health care workers
65
Rate of flu vaccination
86.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
27
Number of eligible stays
385
Unadjusted potentially preventable readmission rate
7.01
Risk-standardized potentially preventable readmission rate (RSRR)
8.64
Lower limit of the 95% confidence interval on the RSRR
6.83
Upper limit of the 95% confidence interval on the RSRR
10.72
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
23
Number of eligible stays
429
Unadjusted potentially preventable readmission rate
5.36
Risk-standardized potentially preventable readmission rate (RSRR)
5.89
Lower limit of the 95% confidence interval on the RSRR
4.25
Upper limit of the 95% confidence interval on the RSRR
8.09
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)
253
Number of eligible stays
358
Observed discharge to community rate
70.67
Risk-standardized discharge to community rate
67.37
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.07
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.13
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
409
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
278
Denominator
301
Facility rate
92.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
300
Facility observed rate
2.3
Facility risk-adjusted rate
2.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
47
Number of health care workers
50
Rate of COVID-19 vaccination
94.0