Chi St Vincent Hs Rehab Hosp, a Part of Encompass


About the Facility

CMS Certification Number (CCN)
043035
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
1636 Higdon Ferry Road
Phone Number
(501) 651-2000

Facility Medical Condition Statistics

All other conditions
172
Brain disease or condition (non-traumatic)
117
Brain injury (traumatic)
33
Hip or femur fracture
115
Hip or knee replacement, amputation or other bone or joint condition
211
Nervous system disorder (excluding stroke)
314
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
154

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
2.663
Comparative performance category
No Different than the National Benchmark
Catheter days
1,040
Predicted number of infections (B)
1.125
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
1,119
Denominator
1,119
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
952
Average observed change score
15.1
Change in patients ability to move around
Average risk-adjusted change score
34.0
Denominator
952
Average observed change score
36.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
690
Denominator
952
Facility rate
72.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
648
Denominator
952
Facility rate
68.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,119
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.462
Comparative performance category
Better than the National Benchmark
Patient days
15,167
Predicted number of infections (B)
6.485
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
292
Number of health care workers
340
Rate of flu vaccination
85.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
123
Number of eligible stays
1,218
Unadjusted potentially preventable readmission rate
10.10
Risk-standardized potentially preventable readmission rate (RSRR)
9.42
Lower limit of the 95% confidence interval on the RSRR
8.14
Upper limit of the 95% confidence interval on the RSRR
10.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
82
Number of eligible stays
1,325
Unadjusted potentially preventable readmission rate
6.19
Risk-standardized potentially preventable readmission rate (RSRR)
6.11
Lower limit of the 95% confidence interval on the RSRR
5.04
Upper limit of the 95% confidence interval on the RSRR
7.45
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
723
Number of eligible stays
1,014
Observed discharge to community rate
71.30
Risk-standardized discharge to community rate
69.99
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.54
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.54
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
1,349
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,112
Denominator
1,119
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
1,117
Facility observed rate
0.8
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
188
Number of health care workers
227
Rate of COVID-19 vaccination
82.8