Baptist Health Rehab Institute - North Little Rock


About the Facility

CMS Certification Number (CCN)
04T036
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
3333 Springhill Drive
Phone Number
(501) 202-7257

Facility Medical Condition Statistics

All other conditions
120
Brain disease or condition (non-traumatic)
63
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
38
Hip or knee replacement, amputation or other bone or joint condition
87
Nervous system disorder (excluding stroke)
92
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
58

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
357
Predicted number of infections (B)
0.515
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
465
Denominator
465
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.5
Denominator
405
Average observed change score
12.0
Change in patients ability to move around
Average risk-adjusted change score
29.7
Denominator
405
Average observed change score
33.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
221
Denominator
405
Facility rate
54.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
230
Denominator
405
Facility rate
56.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
465
Facility rate
0.6
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.302
Comparative performance category
No Different than the National Benchmark
Patient days
5,792
Predicted number of infections (B)
2.301
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
28
Number of health care workers
41
Rate of flu vaccination
68.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
67
Number of eligible stays
565
Unadjusted potentially preventable readmission rate
11.86
Risk-standardized potentially preventable readmission rate (RSRR)
9.84
Lower limit of the 95% confidence interval on the RSRR
8.17
Upper limit of the 95% confidence interval on the RSRR
11.59
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
35
Number of eligible stays
632
Unadjusted potentially preventable readmission rate
5.54
Risk-standardized potentially preventable readmission rate (RSRR)
5.44
Lower limit of the 95% confidence interval on the RSRR
4.09
Upper limit of the 95% confidence interval on the RSRR
6.43
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)
340
Number of eligible stays
500
Observed discharge to community rate
68.00
Risk-standardized discharge to community rate
67.53
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.86
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.45
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
620
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
439
Denominator
465
Facility rate
94.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
461
Facility observed rate
0.4
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
36
Number of health care workers
57
Rate of COVID-19 vaccination
63.2